Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1932213030
Practice Locations (2)
55 S BROADWAY, 3RD FLOOR
Tarrytown, NY 105914000
55 S BROADWAY
TARRYTOWN, NY 105914000
9146310400
Source: CMS National Downloadable File, September 2026.