Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1770163735
Practice Locations (2)
PO BOX, SUITE 8000
OLD WESTBURY, NY 115688000
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
Source: CMS National Downloadable File, September 2026.