Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1003987512
Practice Locations (3)
966 SOUTHERN BLVD
BRONX, NY 104593409
2124759797
114 E 72ND ST, APT 1D
NEW YORK, NY 100214245
2124759797
138 E 80TH ST, SUITE 140
NEW YORK, NY 100750306
2127726830
Source: CMS National Downloadable File, September 2026.