Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2007
Also: GERIATRIC MEDICINE
NPI: 1780913459
Practice Locations (1)
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
227 MADISON ST
NEW YORK, NY 100027537
2122387000
Source: CMS National Downloadable File, September 2026.