Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2025
NPI: 1336018639
Practice Locations (3)
2531 STEINWAY ST
ASTORIA, NY 111033733
32 PURDUE ST
Staten Island, NY 103146045
32 PURDUE ST
STATEN ISLAND, NY 103146045
Source: CMS National Downloadable File, September 2026.