Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2002
Offers telehealth
NPI: 1336364991
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2520 30TH AVE
LONG ISLAND CITY, NY 111022448
7188087777
Source: CMS National Downloadable File, September 2026.