Graduated: 2023
NPI: 1730862822
Practice Locations (2)
FPA HOSPITAL BASED
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2122416426
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
177 FORT WASHINGTON AVE
NEW YORK, NY 100323733
2123057060
Source: CMS National Downloadable File, September 2026.