Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2020
NPI: 1871112623
Practice Locations (2)
14447 69TH RD
FLUSHING, NY 113671701
961 BROADWAY, SUITE 103
WOODMERE, NY 115981733
Source: CMS National Downloadable File, September 2026.