Medical school: STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated: 2018
NPI: 1689247934
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.