Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1134897077
Practice Locations (4)
2510 30TH AVE
ASTORIA, NY 111022418
150 E 42ND STREET 9TH FLOOR, 9TH FLOOR DESK 9.A.30.6
New York, NY 100175639
150 E 39TH ST, APT 507
NEW YORK, NY 100160955
150 E 42ND ST 9TH FLOOR
NEW YORK, NY 100175639
Source: CMS National Downloadable File, September 2026.