Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2012
NPI: 1336587823
Practice Locations (2)
20118 HILLSIDE AVE
HOLLIS, NY 114232189
39 E 29TH ST, APT 5D
NEW YORK, NY 100167927
Source: CMS National Downloadable File, September 2026.