Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2023
NPI: 1699550673
Practice Locations (3)
1027 46TH AVE
Long Island City, NY 111015245
1027 46TH AVE
LONG ISLAND CITY, NY 111015202
220 FRONT ST
NEW YORK, NY 100382031
Source: CMS National Downloadable File, September 2026.