Graduated: 1994
NPI: 1104804368
Practice Locations (4)
1401 FRANKLIN AVE
GARDEN CITY, NY 115301613
5005 MARYLAND WAY, SUITE 175
BRENTWOOD, TN 370277590
PO BOX
FRANKLIN, TN 37068
PO BOX
FRANKLIN, TN 370689022
Source: CMS National Downloadable File, September 2026.