Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1994
NPI: 1639150618
Practice Locations (2)
YALE UNIVERSITY
20 YORK ST
NEW HAVEN, CT 065103220
2037854638
YALE UNIVERSITY
55 LOCK ST
NEW HAVEN, CT 065113603
2034320076
Source: CMS National Downloadable File, September 2026.