Graduated: 2013
NPI: 1902293012
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
14004 58TH RD
FLUSHING, NY 113555307
2126596800
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1190 5TH AVE, GP2W
NEW YORK, NY 100296503
2122415646
Source: CMS National Downloadable File, September 2026.