Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2004
NPI: 1073786026
Practice Locations (2)
NEW YORK UNIVERSITY
530 1ST AVE
NEW YORK, NY 100166402
NEW YORK UNIVERSITY
550 1ST AVE
NEW YORK, NY 100166402
2122636037
Source: CMS National Downloadable File, September 2026.