Graduated: 2024
NPI: 1285459404
Practice Locations (2)
SHASTA HEALTH PHYSICAL THERAPY NY PC
169 MADISON AVE
NEW YORK, NY 100165101
8332709820
345 E 93RD ST, APT 14F
NEW YORK, NY 101285520
7186160880
Source: CMS National Downloadable File, September 2026.