Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1999
Offers telehealth
NPI: 1972695286
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2126598551
Source: CMS National Downloadable File, September 2026.