Graduated: 2000
NPI: 1063692838
Practice Locations (3)
23 S VILLAGE AVE, SUITE 2
Rockville Centre, NY 115705222
23 S VILLAGE AVE, SUITE 11
ROCKVILLE CENTRE, NY 115705222
5168514381
23 S VILLAGE AVE II
ROCKVILLE CENTRE, NY 115705222
Source: CMS National Downloadable File, September 2026.