Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1629120621
Practice Locations (3)
535 W 110TH ST APT, 1E
New York, NY 100252021
300 W 108TH ST, APT 13A
NEW YORK, NY 100252788
535 W 110TH ST, APT 1E
NEW YORK, NY 100252021
Source: CMS National Downloadable File, September 2026.