Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1306932017
Practice Locations (2)
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
227 MADISON ST
NEW YORK, NY 100027537
2122387000
350 CENTRAL PARK W, APT 1D
NEW YORK, NY 100258842
2127497111
Source: CMS National Downloadable File, September 2026.