Graduated: 2018
NPI: 1952788663
Practice Locations (3)
NORTHEAST MEDICAL GROUP INC
267 GRANT ST
BRIDGEPORT, CT 066102805
2033843000
NEW YORK UNIVERSITY
150 55TH ST
BROOKLYN, NY 112202508
7186307000
INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC
1545 ATLANTIC AVE
BROOKLYN, NY 112131122
7186134000
Source: CMS National Downloadable File, September 2026.