Graduated: 1996
NPI: 1417178377
Practice Locations (2)
CITY MEDICAL OF UPPER EAST SIDE PLLC
388 E FORDHAM RD
BRONX, NY 104585044
7184893553
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.