Graduated: 1999
NPI: 1083912158
Practice Locations (3)
SOUTH NASSAU COMMUNITIES HOSPITAL
2277 GRAND AVE
BALDWIN, NY 115103148
5162551600
ST JOHN'S MEDICAL SERVICES PC
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697919
SOUTH NASSAU COMMUNITIES HOSPITAL
1 HEALTHY WAY
OCEANSIDE, NY 115721551
5162551600
Source: CMS National Downloadable File, September 2026.