Graduated: 2026
NPI: 1902765787
Practice Locations (4)
160 W 97TH ST APT, 10J
New York, NY 100259236
1468 MADISON AVE
NEW YORK, NY 100296508
150 E 42ND ST
NEW YORK, NY 100175612
160 W 97TH ST, APT 10J
NEW YORK, NY 100259236
Source: CMS National Downloadable File, September 2026.