Graduated: 2024
NPI: 1316744915
Practice Locations (4)
1901 1ST AVE
New York, NY 100297494
50 WATER ST, FL 3
NEW YORK, NY 100046001
50 WATER ST, FL 3
NEW YORK, NY 100046010
80 5TH AVE, SUITE 903 10
NEW YORK, NY 100118020
Source: CMS National Downloadable File, September 2026.