Graduated: 2015
NPI: 1518308147
Practice Locations (4)
3438 BELL BLVD, SUITE 301
BAYSIDE, NY 113611745
3071 PERRY AVE
BRONX, NY 104674111
HOLLAND AVE
BRONX, NY 104622974
336 E 54TH ST, APT 6B
NEW YORK, NY 100225046
Source: CMS National Downloadable File, September 2026.