Medical school: FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1609515113
Practice Locations (3)
123 GROVE AVE, SUITE 216
CEDARHURST, NY 115162302
123 GROVE AVE, SUITE 216
CEDARHURST, NY 115162384
4 WILLIAMS CT
Far Rockaway, NY 116915162
Source: CMS National Downloadable File, September 2026.