Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2012
NPI: 1104265768
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
2122414572
MOUNT SINAI SCHOOL OF MEDICINE
1 HEALTHY WAY
OCEANSIDE, NY 115721551
5166323670
Source: CMS National Downloadable File, September 2026.