Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1497812473
Practice Locations (2)
277 AVE C, APT 3C
NEW YORK, NY 100092538
305 2ND AVE, SUITE 104
NEW YORK, NY 100032739
9176732652
Source: CMS National Downloadable File, September 2026.