Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1114127735
Practice Locations (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
1000 ASYLUM AVE, RM 1026
HARTFORD, CT 061051701
8607144332
Source: CMS National Downloadable File, September 2026.