Graduated: 1994
NPI: 1619049780
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122418014
MIDTOWN MEDICAL, PLLC
345 E 37TH ST, RM 304
NEW YORK, NY 100163256
2125997910
Source: CMS National Downloadable File, September 2026.