Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1093701120
Practice Locations (4)
BUSHWICK PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
27 GRAHAM AVE, SUITE A
BROOKLYN, NY 112064007
8475938460
FORDHAM MEDICAL OF NEW YORK LLC
4004 FORLEY ST, SUITE C
ELMHURST, NY 113731427
3478213738
ST NICHOLAS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
1264 SAINT NICHOLAS AVE, SUITE A
NEW YORK, NY 100337202
3475321845
BUSHWICK MEDICAL OF NEW YORK LLC
1974 1ST AVE
NEW YORK, NY 100296430
9174511223
Source: CMS National Downloadable File, September 2026.