Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1467033902
Practice Locations (2)
21 WILDWOOD DR
Great Neck, NY 110241221
55 E 87TH ST, SUITE 1C
NEW YORK, NY 101281049
Source: CMS National Downloadable File, September 2026.