Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2022
NPI: 1417694266
Practice Locations (2)
150 E 42ND ST 9TH FLOOR
New York, NY 100175612
150 E 42ND ST 9TH FLOOR
NEW YORK, NY 100175639
Source: CMS National Downloadable File, September 2026.