Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2023
NPI: 1689433344
Practice Locations (2)
224 E 149TH ST, RM 8D 200
BRONX, NY 104515504
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
Source: CMS National Downloadable File, September 2026.