Graduated: 2009
NPI: 1053753608
Practice Locations (2)
PELHAM PKWY MEDICAL OF NEW YORK LLC
3485 JEROME AVE, SUITE C
BRONX, NY 104671049
3474297699
FORDHAM MEDICAL OF NEW YORK LLC
4159 BROADWAY, SUITE C
NEW YORK, NY 100333702
7188798938
Source: CMS National Downloadable File, September 2026.