Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2025
NPI: 1922962414
Practice Locations (2)
150 E 42ND ST FL, 5 5.A.30.6
NEW YORK, NY 100175612
2020 WANTAGH AVE
WANTAGH, NY 117933931
Source: CMS National Downloadable File, September 2026.