Graduated: 2023
NPI: 1407667629
Practice Locations (3)
2385 BARKER AVE, APT 6D
BRONX, NY 104677773
665 THWAITES PL, APT C
BRONX, NY 104671987
665 THWAITES PL, APT C
BRONX, NY 104677947
6462865221
Source: CMS National Downloadable File, September 2026.