Graduated: 2021
NPI: 1043794530
Practice Locations (3)
344 FULTON AVE
HEMPSTEAD, NY 115503923
36 N LONG BEACH RD APT, 2G
Rockville Centre, NY 115705026
36 N LONG BEACH RD, APT 2G
ROCKVILLE CENTRE, NY 115705026
Source: CMS National Downloadable File, September 2026.