Medical school: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated: 2026
NPI: 1366338659
Practice Locations (2)
150 E 42ND ST 5TH FLOOR DESK 5 E, SUITE 03
New York, NY 100175612
150 E 42ND ST
NEW YORK, NY 100175612
Source: CMS National Downloadable File, September 2026.