Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1996
NPI: 1124565858
Practice Locations (2)
FRESH MEADOWS PHYSICIAN PRACTICE PLLC
147 2ND AVE
BRENTWOOD, NY 117174809
6312737204
FRESH MEADOWS PHYSICIAN PRACTICE PLLC
839 SUFFOLK AVE
BRENTWOOD, NY 117174403
6312734700
Source: CMS National Downloadable File, September 2026.