Medical school: PACIFIC MEDICAL COLLEGE
Graduated: 2022
NPI: 1962048330
Practice Locations (3)
1357 E 69TH ST
Brooklyn, NY 112345714
1357 E 69TH ST
BROOKLYN, NY 112345714
2422 KNAPP ST
BROOKLYN, NY 112351006
6463394941
Source: CMS National Downloadable File, September 2026.