Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1609516251
Practice Locations (3)
2716 21ST ST, APT 6D
ASTORIA, NY 111023634
1276 FULTON AVE
BRONX, NY 104563499
1276 FULTON AVE, RM 219
BRONX, NY 104563499
Source: CMS National Downloadable File, September 2026.