Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1977
NPI: 1962430850
Practice Locations (2)
31 W 9TH ST, SUITE 12
New York, NY 100119206
31 W 9TH ST, SUITE 12
NEW YORK, NY 100119206
2127770014
Source: CMS National Downloadable File, September 2026.