Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1275730947
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 ST AVE 16TH ST
NEW YORK, NY 10003
2128448100
Source: CMS National Downloadable File, September 2026.