Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1997
NPI: 1003968660
Practice Locations (2)
KINGS PHYSICIAN SERVICES PC
506 6TH ST
BROOKLYN, NY 112153609
7187803000
WEILL MEDICAL COLLEGE OF CORNELL
525 E 68TH ST BOX, 585 CORNELL UNIVERSITY MED COLLEGE
NEW YORK, NY 100214870
2127462059
Source: CMS National Downloadable File, September 2026.