Graduated: 2004
NPI: 1770720211
Practice Locations (3)
NEW YORK UNIVERSITY
13303 JAMAICA AVE
JAMAICA, NY 114182618
7182066923
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
13112 LIBERTY AVE
SOUTH RICHMOND HILL, NY 114193124
7188431020
Source: CMS National Downloadable File, September 2026.