Graduated: 2020
NPI: 1013538453
Practice Locations (2)
NEW YORK QUEENS MEDICINE AND SURGERY, P.C.
2825 JACKSON AVE, FL 2
LONG ISLAND CITY, NY 111012920
8666706824
UNIVERSITY OF PENN-MEDICAL GROUP
3400 SPRUCE ST
PHILADELPHIA, PA 191044238
2158932600
Source: CMS National Downloadable File, September 2026.