Graduated: 2022
NPI: 1003536277
Practice Locations (3)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2520 30TH AVE
ASTORIA, NY 111022448
7188087777
KINGS PHYSICIAN SERVICES PC
506 6TH ST
BROOKLYN, NY 112153609
Source: CMS National Downloadable File, September 2026.