Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2024
NPI: 1982436580
Practice Locations (2)
SHASTA HEALTH PHYSICAL THERAPY NY PC
169 MADISON AVE
NEW YORK, NY 100165101
8332709820
945 HUGUENOT AVE
STATEN ISLAND, NY 103124312
3202626653
Source: CMS National Downloadable File, September 2026.