Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1997
NPI: 1811973241
Practice Locations (2)
9033 ELMHURST AVE
JACKSON HEIGHTS, NY 113727935
7184577000
GROUPO MEDICO DOMINICANO PLLC
629 W 185TH ST
NEW YORK, NY 100333102
2129283900
Source: CMS National Downloadable File, September 2026.