Medical school: FORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1689363608
Practice Locations (3)
1 GUSTAVE L LEVY PL
New York, NY 100296504
1468 MADISON AVE
NEW YORK, NY 100296508
150 E 42ND ST
NEW YORK, NY 100175699
Source: CMS National Downloadable File, September 2026.