Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1996
Offers telehealth
NPI: 1336119817
Practice Locations (2)
MILLENNIUM PHYSICIAN GROUP LLC
6531 103RD ST
JACKSONVILLE, FL 322107131
9047722727
CITY MEDICAL OF UPPER EAST SIDE PLLC
2025 BROADWAY
NEW YORK, NY 100235016
2123908812
Source: CMS National Downloadable File, September 2026.