Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1619140365
Practice Locations (3)
NEW YORK UNIVERSITY
300 COMMUNITY DR
MANHASSET, NY 110303816
5165620100
NEW YORK UNIVERSITY
270 -05
NEW HYDE PARK, NY 110401402
5164707000
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
Source: CMS National Downloadable File, September 2026.