Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1932259488
Practice Locations (3)
17003 NORTHERN BLVD
FLUSHING, NY 113582709
7183533668
1739 ROBERTA LN
Merrick, NY 115662814
1739 ROBERTA LN
MERRICK, NY 115662814
Source: CMS National Downloadable File, September 2026.