Graduated: 2022
NPI: 1215687249
Practice Locations (3)
2050 LAKEVILLE RD, 2 ECM 2ND FLOOR
New Hyde Park, NY 110401639
2050 LAKEVILLE RD, SUITE 2
NEW HYDE PARK, NY 110401639
43 NARCISSUS DR
SYOSSET, NY 117912820
Source: CMS National Downloadable File, September 2026.