Graduated: 2025
NPI: 1174496178
Practice Locations (4)
5550 MERRICK RD
MASSAPEQUA, NY 117586238
135 MINEOLA BLVD
MINEOLA, NY 115013917
80 5TH AVE, SUITE 903 10
NEW YORK, NY 100118020
22238 GARLAND DR
Oakland Gardens, NY 113641426
Source: CMS National Downloadable File, September 2026.