Graduated: 1996
NPI: 1043470024
Practice Locations (3)
2810 STEINWAY ST
ASTORIA, NY 111033332
7182252244
4802 25TH AVE
ASTORIA, NY 111031021
7186199010
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 113573247
7182252244
Source: CMS National Downloadable File, September 2026.