Graduated: 2017
NPI: 1568927804
Practice Locations (2)
CITY MEDICAL OF UPPER EAST SIDE PLLC
193 W 237TH ST
BRONX, NY 104634141
7183030479
NORTH SHORE-LIJ MEDICAL PC
701 N BROADWAY
SLEEPY HOLLOW, NY 105911020
9143663000
Source: CMS National Downloadable File, September 2026.