Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2008
NPI: 1104085679
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.