Graduated: 1995
Offers telehealth
NPI: 1972088540
Practice Locations (3)
100 DANFORTH AVE, APT 324
DOBBS FERRY, NY 105222646
23 W 73RD ST, SUITE 101
NEW YORK, NY 100233104
9172444044
PO BOX, SUITE 712260
SALT LAKE CITY, UT 84171
Source: CMS National Downloadable File, September 2026.