Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 2003
NPI: 1548442601
Practice Locations (2)
205 E 76TH ST
NEW YORK, NY 100212147
2124724802
GLACIER CRYO MEDICAL P.C
310 E 72ND ST
NEW YORK, NY 100214726
7182225999
Source: CMS National Downloadable File, September 2026.