Graduated: 2020
NPI: 1023644085
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC
255 LAFAYETTE AVE
SUFFERN, NY 109014812
8453685983
Source: CMS National Downloadable File, September 2026.