Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
NPI: 1063697027
Practice Locations (3)
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
65 -09, 6Q
REGO PARK, NY 113743530
6509 99TH ST, 6Q
REGO PARK, NY 113743530
Source: CMS National Downloadable File, September 2026.