Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2016
NPI: 1558818088
Practice Locations (2)
8268 164TH ST, SUITE 1B 02
JAMAICA, NY 114321121
455 TOLL GATE RD
WARWICK, RI 028862770
Source: CMS National Downloadable File, September 2026.