Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1659900256
Practice Locations (2)
42 -09, WS 15 111
LONG ISLAND CITY, NY 111014130
4209 28TH ST
LONG ISLAND CITY, NY 111014130
Source: CMS National Downloadable File, September 2026.