Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1306093893
Practice Locations (2)
NORTHEAST MEDICAL GROUP INC
500 W PUTNAM AVE
GREENWICH, CT 068306086
2038633671
NORTHEAST MEDICAL GROUP, PLLC
3010 WESTCHESTER AVE, SUITE 400
PURCHASE, NY 105772524
9142356060
Source: CMS National Downloadable File, September 2026.