Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2012
NPI: 1225383367
Practice Locations (1)
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.