Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2025
NPI: 1083596084
Practice Locations (1)
VITREOUS RETINA MACULA CONSULTANTS OF NEW YORK
110 LAFAYETTE ST, RM 502
NEW YORK, NY 100134116
6464175971
Source: CMS National Downloadable File, September 2026.