Graduated: 2019
NPI: 1902366545
Practice Locations (2)
MONTEFIORE MEDICAL CENTER
111 E 210TH ST
BRONX, NY 104672401
8666338255
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.