Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1508443391
Practice Locations (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
56 FRANKLIN ST
WATERBURY, CT 067061253
2037096000
Source: CMS National Downloadable File, September 2026.