Graduated: 2015
NPI: 1215314554
Practice Locations (3)
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
374 STOCKHOLM ST
BROOKLYN, NY 112374006
7189637266
NORTH SHORE-LIJ MEDICAL PC
900 FRANKLIN AVE
VALLEY STREAM, NY 115802145
5162566000
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157075030
Source: CMS National Downloadable File, September 2026.