Graduated: 2025
NPI: 1326931510
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
234 E 149 ST
BRONX, NY 104515504
7185795000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
594 ALBANY AVE
BROOKLYN, NY 112031706
6466946680
Source: CMS National Downloadable File, September 2026.