Graduated: 2019
NPI: 1104577410
Practice Locations (4)
815 GRAVESEND NECK RD APT, 1B
Brooklyn, NY 112235566
8746 20TH AVE, L
BROOKLYN, NY 112144802
14 SYLVAN DR
MAHOPAC, NY 105413056
575 8TH AVE
NEW YORK, NY 100183033
Source: CMS National Downloadable File, September 2026.