Medical school: HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Graduated: 1994
Offers telehealth
NPI: 1861475816
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
10 UNION SQUARE E, TISCH DEPT OF MOUNT SINAI
NEW YORK, NY 100033314
2128448288
Source: CMS National Downloadable File, September 2026.