Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2000
NPI: 1730107327
Practice Locations (2)
NEW YORK UNIVERSITY
259 1ST ST
MINEOLA, NY 115013957
5162228600
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
Source: CMS National Downloadable File, September 2026.