Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2023
NPI: 1972208932
Practice Locations (3)
PO BOX
BALTIMORE, MD 21279
88 TWINLAWNS AVE
Hicksville, NY 118011819
88 TWINLAWNS AVE
HICKSVILLE, NY 118011819
Source: CMS National Downloadable File, September 2026.