Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1205871878
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI
1233 2ND AVE
NEW YORK, NY 100656705
2126061202
Source: CMS National Downloadable File, September 2026.