Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2000
NPI: 1669457792
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
7189321000
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
638 COLUMBUS AVE
NEW YORK, NY 100241406
2128283250
Source: CMS National Downloadable File, September 2026.