Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2014
NPI: 1881013522
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
6463177111
Source: CMS National Downloadable File, September 2026.