Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2000
NPI: 1053354084
Practice Locations (2)
3844 E TREMONT AVE
BRONX, NY 104652422
7188220122
MODERN PHYSICIAN SERVICES PC
68 GRAHAM AVE
BROOKLYN, NY 112064017
6466048130
Source: CMS National Downloadable File, September 2026.