Graduated: 2017
NPI: 1871099440
Practice Locations (2)
CITY MEDICAL OF UPPER EAST SIDE PLLC
22405 JAMAICA AVE
QUEENS VILLAGE, NY 114282019
7185719395
CENTRAL SUFFOLK HOSPITAL
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486101
Source: CMS National Downloadable File, September 2026.