Graduated: 2013
NPI: 1821779083
Practice Locations (2)
FPA HOSPITAL BASED
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122416426
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.