Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2024
NPI: 1619780673
Practice Locations (2)
1345 AVE OF THE AMERICAS FL, SUITE 8
New York, NY 101050018
1345 AVE OF HE AMERICAS
NEW YORK, NY 10105
Source: CMS National Downloadable File, September 2026.