Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2024
NPI: 1386499796
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE LEVY PLACE, MOUNT SINAI HOSPITAL
NEW YORK, NY 100296500
212241811848118
Source: CMS National Downloadable File, September 2026.