Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2001
Also: INTERNAL MEDICINE
NPI: 1033108303
Practice Locations (2)
14445 87TH AVE
BRIARWOOD, NY 114353109
7184804000
5645 MAIN ST
FLUSHING, NY 113555045
71864402260
Source: CMS National Downloadable File, September 2026.