Graduated: 2000
NPI: 1134145873
Practice Locations (5)
51 SUMMIT AVE
HACKENSACK, NJ 076011262
2013435277
22002 73RD AVE
BAYSIDE, NY 113642624
7184648870
22002 73RD AVE
FLUSHING, NY 113642624
22002 73RD AVE
Oakland Gardens, NY 113642624
22002 73RD AVE
OAKLAND GARDENS, NY 113642624
Source: CMS National Downloadable File, September 2026.