Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1982
NPI: 1952392466
Practice Locations (3)
PARK SOUTH MEDICAL PLLC
1545 UNIONPORT RD
BRONX, NY 104627714
7188922201
3747 77TH ST
JACKSON HEIGHTS, NY 113726629
7185050960
114 E 72ND ST, 1D
NEW YORK, NY 100214245
2124728546
Source: CMS National Downloadable File, September 2026.