Graduated: 2017
NPI: 1891209201
Practice Locations (3)
1551 ARISTIDES BLVD APT, SUITE 1102
Lexington, KY 405111671
1551 ARISTIDES BLVD, APT 1102
LEXINGTON, KY 405111580
228 PARK AVE S
NEW YORK, NY 100031502
Source: CMS National Downloadable File, September 2026.