Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2020
Offers telehealth
NPI: 1164041562
Practice Locations (2)
NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
15 E MIDLAND AVE
PARAMUS, NJ 076522938
2015998000
NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
541 E 71ST ST
NEW YORK, NY 100214871
6467978973
Source: CMS National Downloadable File, September 2026.