This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / NY
NURSE PRACTITIONER
Graduated: 2023
NPI: 1073100939
442 5TH AVE, SUITE 1983
NEW YORK, NY 100182794
PO BOX, SUITE 95590
SOUTH JORDAN, UT 84095
Source: CMS National Downloadable File, September 2026.