Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2018
NPI: 1669962924
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
393 OLD COUNTRY RD
CARLE PLACE, NY 115142131
5168770977
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
440 E BAY DR
LONG BEACH, NY 115612351
5166323000
Source: CMS National Downloadable File, September 2026.