Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1932297660
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI
535 E 70TH ST
NEW YORK, NY 100214872
2126061224
Source: CMS National Downloadable File, September 2026.