Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1104011501
Practice Locations (1)
39 W 14TH ST, SUITE 207
NEW YORK, NY 100117406
6469190959
Source: CMS National Downloadable File, September 2026.
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.
Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1104011501
39 W 14TH ST, SUITE 207
NEW YORK, NY 100117406
6469190959
Source: CMS National Downloadable File, September 2026.