Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2009
NPI: 1215179122
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
2520 30TH AVE
ASTORIA, NY 111022448
7188087777
Source: CMS National Downloadable File, September 2026.