Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2009
NPI: 1235441890
Practice Locations (1)
PROSPECT CT MEDICAL FOUNDATION INC
428 HARTFORD TPKE, SUITE 210
VERNON, CT 060664841
8605334611
Source: CMS National Downloadable File, September 2026.