Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1356647192
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
535 E 70TH ST
NEW YORK, NY 100214823
2127747598
Source: CMS National Downloadable File, September 2026.