Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1760619142
Practice Locations (2)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
180 FORT WASHINGTON AVE
NEW YORK, NY 100323722
2123050209
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
51 W 51ST ST, FL 3 SUITE 360
NEW YORK, NY 100196113
2123268426
Source: CMS National Downloadable File, September 2026.