Graduated: 2021
NPI: 1255003745
Practice Locations (2)
210 MJD MEDICAL PLLC
228 BEACH 20TH ST
FAR ROCKAWAY, NY 116913618
9294376161
DIVINITY MEDICAL SERVICES PLLC
3379 CROMPOND RD
YORKTOWN HEIGHTS, NY 105983605
9149305550
Source: CMS National Downloadable File, September 2026.