Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1184832735
Practice Locations (1)
PRIVIA MEDICAL GROUP, LLC
106 IRVING ST NW NTR, 3200 CAPITAL CARD CONS
WASHINGTON, DC 200102964
2028321800
Source: CMS National Downloadable File, September 2026.