Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1083700926
Practice Locations (2)
8345 DONGAN AVE
ELMHURST, NY 113733755
7187790454
3867 BROADWAY, LEVEL
NEW YORK, NY 100321505
2125433110
Source: CMS National Downloadable File, September 2026.