Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1750965562
Practice Locations (4)
1468 MADISON AVE
NEW YORK, NY 100296508
150 E 42ND ST
NEW YORK, NY 100175612
520 W 168TH ST, APT 3A
NEW YORK, NY 100324117
520 W 168TH ST APT, 3A
NEW YORK, NY 100324117
Source: CMS National Downloadable File, September 2026.