Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2003
NPI: 1518125681
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2127317822
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
10114 LIBERTY AVE
OZONE PARK, NY 114171725
7184873330
Source: CMS National Downloadable File, September 2026.