Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1992738769
Practice Locations (2)
2016 BRONXDALE AVE, SUITE 302
BRONX, NY 104623389
7189181372
570 W 204TH ST
NEW YORK, NY 100344008
2125073777
Source: CMS National Downloadable File, September 2026.