Medical school: NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduated: 2005
NPI: 1184891897
Practice Locations (2)
1110 S AVE, SUITE 62
STATEN ISLAND, NY 103143403
9178371317
15 1ST ST, FL 2
STATEN ISLAND, NY 103062201
Source: CMS National Downloadable File, September 2026.