Graduated: 2006
NPI: 1669859724
Practice Locations (4)
44 W 28TH ST, FL 5
NEW YORK, NY 100014212
60 MADISON AVE, FL 5
NEW YORK, NY 100101633
PO BOX, SUITE 5478
Pawtucket, RI 028625478
PO BOX, SUITE 5478
PAWTUCKET, RI 02862
Source: CMS National Downloadable File, September 2026.