Medical school: STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated: 2019
NPI: 1528767282
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1468 MADISON AVE
NEW YORK, NY 100296508
2129873100
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
234 E 85TH ST
NEW YORK, NY 100283001
6466055669
Source: CMS National Downloadable File, September 2026.