Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1013598523
Practice Locations (2)
1025 ISLIP AVE
CENTRAL ISLIP, NY 117224819
6312343800
3758 108TH ST
CORONA, NY 113682023
7185921616
Source: CMS National Downloadable File, September 2026.