Graduated: 1977
Offers telehealth
NPI: 1144256405
Practice Locations (3)
133 -47 SANFORD AVE
FLUSHING, NY 113555816
133 -47 SANFORD AVE, SUITE 2A
FLUSHING, NY 113555816
13347 SANFORD AVE, 2A
FLUSHING, NY 113555816
7185398000
Source: CMS National Downloadable File, September 2026.