Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2013
NPI: 1821330523
Practice Locations (2)
FPA HOSPITAL BASED
3201 KINGS HWY
BROOKLYN, NY 112342625
7182523000
FPA HOSPITAL BASED
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122416426
Source: CMS National Downloadable File, September 2026.