Graduated: 2025
NPI: 1083590319
Practice Locations (4)
7025 SHORE RD
BROOKLYN, NY 112091007
8746 20TH AVE, L
BROOKLYN, NY 112144802
575 8TH AVE
NEW YORK, NY 100183033
575 8TH AVE, FL 10
NEW YORK, NY 100183033
Source: CMS National Downloadable File, September 2026.