Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1649585076
Practice Locations (2)
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
7901 BROADWAY
ELMHURST, NY 113731329
7183344000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
8268 164TH ST
JAMAICA, NY 114321121
7188833000
Source: CMS National Downloadable File, September 2026.