Graduated: 1985
NPI: 1083681738
Practice Locations (3)
1720 E 14TH ST, SUITE M1
BROOKLYN, NY 112292088
7183386655
331 KINGS HWY
BROOKLYN, NY 112231443
6469959999
35 W END AVE, SUITE C1
BROOKLYN, NY 112354869
7182325050
Source: CMS National Downloadable File, September 2026.