Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2006
Offers telehealth
NPI: 1184820664
Practice Locations (1)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
Source: CMS National Downloadable File, September 2026.