Graduated: 2024
NPI: 1396503504
Practice Locations (2)
FPA HOSPITAL BASED
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122416426
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
161 FORT WASHINGTON AVE
NEW YORK, NY 100323729
2123058559
Source: CMS National Downloadable File, September 2026.