Graduated: 2015
NPI: 1629451547
Practice Locations (2)
FPA HOSPITAL BASED
1176 5TH AVE
NEW YORK, NY 100296503
2122418395
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
2020 WANTAGH AVE, MOUNT SINAI DOCTORS WANTAGH
WANTAGH, NY 117933931
5169614545
Source: CMS National Downloadable File, September 2026.