Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1033238670
Practice Locations (2)
FPA HOSPITAL BASED
1470 MADISON AVE
NEW YORK, NY 100296542
2122418426
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
2020 WANTAGH AVE, MOUNT SINAI DOCTORS WANTAGH
WANTAGH, NY 117933931
5169614545
Source: CMS National Downloadable File, September 2026.