Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 2015
NPI: 1720475890
Practice Locations (2)
OPTUM MEDICAL CARE PC
5901 69TH ST
MASPETH, NY 113782946
7186393338
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
Source: CMS National Downloadable File, September 2026.