Medical school: COLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated: 2017
NPI: 1154858033
Practice Locations (4)
STATEN ISLAND ORAL AND MAXILLOFACIAL SURGERY
256 C MASON AVE
STATEN ISLAND, NY 103051942
STATEN ISLAND ORAL AND MAXILLOFACIAL SURGERY
256 C MASON AVE, SUITE 3
STATEN ISLAND, NY 103051942
STATEN ISLAND ORAL AND MAXILLOFACIAL SURGERY
256 C MASON AVE 3RD FL
STATEN ISLAND, NY 103051942
7182261251
STATEN ISLAND ORAL AND MAXILLOFACIAL SURGERY
256 MASON AVE, C
STATEN ISLAND, NY 103053408
Source: CMS National Downloadable File, September 2026.