Graduated: 2020
NPI: 1265072102
Practice Locations (2)
FPA HOSPITAL BASED
1000 10TH AVE
NEW YORK, NY 100191147
2122416426
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
16 W 25TH ST
NEW YORK, NY 100103450
2125168211
Source: CMS National Downloadable File, September 2026.