Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2021
NPI: 1720664352
Practice Locations (2)
NEW YORK UNIVERSITY
530 1ST AVE
NEW YORK, NY 100166402
NEW YORK UNIVERSITY
550 1ST AVE
NEW YORK, NY 100166402
2122636037
Source: CMS National Downloadable File, September 2026.