Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2008
Offers telehealth
NPI: 1861650863
Practice Locations (1)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
210 E 64TH ST, FL 4
NEW YORK, NY 100657471
2124344460
Source: CMS National Downloadable File, September 2026.