Graduated: 2023
NPI: 1891563862
Practice Locations (4)
1535 2ND AVE, SUITE 250
New York, NY 100750504
1760 1ST AVE APT, SUITE 8
New York, NY 101285223
1535 2ND AVE
NEW YORK, NY 100750504
PO BOX, SUITE 20755
NEW YORK, NY 100081407
Source: CMS National Downloadable File, September 2026.