Graduated: 2020
NPI: 1982202123
Practice Locations (4)
133 NE 2ND AVE, APT 1107
MIAMI, FL 331322910
133 NE 2ND AVE, SUITE 1107
MIAMI, FL 331322904
271 DOUGHTY BLVD
INWOOD, NY 110962135
640 W 139TH ST APT, SUITE 46
New York, NY 100317334
Source: CMS National Downloadable File, September 2026.