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Doctors / NY
MAXILLOFACIAL SURGERY
Medical school: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 2021
Also: ORAL SURGERY
NPI: 1053761254
1992 DEER PARK AVE, SUITE 1
DEER PARK, NY 117292729
6316670004
Source: CMS National Downloadable File, September 2026.