Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1932146677
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1555 CTR AVE, SUITE 2
FORT LEE, NJ 070244612
2012597371
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2127317650
Source: CMS National Downloadable File, September 2026.