Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2016
NPI: 1295185973
Practice Locations (3)
FPA HOSPITAL BASED
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122416426
FPA HOSPITAL BASED
1000 10TH AVE
NEW YORK, NY 100191147
2122416426
FPA HOSPITAL BASED
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2122416426
Source: CMS National Downloadable File, September 2026.