Medical school: PONCE SCHOOL OF MEDICINE
Graduated: 2014
NPI: 1003221094
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
325 W 15TH ST, TISCH DEPT OF MOUNT SINAI
NEW YORK, NY 100115903
2123671891
Source: CMS National Downloadable File, September 2026.