Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2023
NPI: 1619664695
Practice Locations (2)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
99 BEAUVOIR AVE
Summit, NJ 079013533
Source: CMS National Downloadable File, September 2026.