Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2020
NPI: 1740819879
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.