Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 2001
Offers telehealth
NPI: 1003076886
Practice Locations (2)
189 -01 NORTHERN BLVD, 3F
FLUSHING, NY 11358
7187460900
18901 NORTHERN BLVD, 3F
FLUSHING, NY 113582824
Source: CMS National Downloadable File, September 2026.