Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 2018
NPI: 1154828507
Practice Locations (3)
575 LEXINGTON AVE RM, SUITE 540
New York, NY 100226145
575 LEXINGTON AVE
NEW YORK, NY 100226150
PO BOX
NEW YORK, NY 10087
Source: CMS National Downloadable File, September 2026.