Graduated: 1993
NPI: 1083728687
Practice Locations (3)
3743 76TH ST
JACKSON HEIGHTS, NY 113726533
7187798963
3743 76TH ST, GROUND FLOOR
JACKSON HEIGHTS, NY 113726533
169 12 HILLSIDE AVE, FLOOR 1
JAMAICA, NY 114324435
7185230023
Source: CMS National Downloadable File, September 2026.