Graduated: 2015
NPI: 1205368719
Practice Locations (3)
3120 CHURCH AVE
BROOKLYN, NY 112264212
7186843900
320 W 30TH ST, APT 7E
NEW YORK, NY 100012788
6467755923
4080 BROADWAY
NEW YORK, NY 100321572
7186843900
Source: CMS National Downloadable File, September 2026.