Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2020
NPI: 1306475660
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
7189321000
Source: CMS National Downloadable File, September 2026.