Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2003
NPI: 1841319464
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2109 BROADWAY
NEW YORK, NY 100232138
2124925500
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
535 E 70TH ST
NEW YORK, NY 100214823
2127747598
Source: CMS National Downloadable File, September 2026.