Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2004
NPI: 1679755334
Practice Locations (1)
54 W 21ST ST, RM 307
NEW YORK, NY 100107373
2122559800
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2004
NPI: 1679755334
54 W 21ST ST, RM 307
NEW YORK, NY 100107373
2122559800
Source: CMS National Downloadable File, September 2026.