Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1997
NPI: 1891729455
Practice Locations (3)
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
NEW YORK UNIVERSITY
715 ROANOKE AVE
RIVERHEAD, NY 119012769
5165415500
NEW YORK UNIVERSITY
715 ROANOKE AVE, SUITE 3
RIVERHEAD, NY 119012769
6319634770
Source: CMS National Downloadable File, September 2026.