Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2000
NPI: 1316024870
Practice Locations (2)
11615 QUEENS BLVD
FOREST HILLS, NY 113756533
7187150399
521 PARK AVE
NEW YORK, NY 100658140
2127312002
Source: CMS National Downloadable File, September 2026.