Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1999
NPI: 1487656062
Practice Locations (4)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND ST
HARTFORD, CT 061051208
8607144000
WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS INC
55 CALLE JACARANDA
BROWNSVILLE, TX 785207409
3143627200
RENAISSANCE MEDICAL FOUNDATION
5501 S MCCOLL RD
EDINBURG, TX 785395503
9563622171
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3
200 NAT WASHINGTON WAY, COLUMBIA BASIN HOSPITAL
EPHRATA, WA 988231997
5097544631
Source: CMS National Downloadable File, September 2026.