Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 2012
NPI: 1780959023
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2126598551
Source: CMS National Downloadable File, September 2026.