Graduated: 2013
NPI: 1255766671
Practice Locations (2)
NEW YORK MEDICAL AND DIAGNOSTIC CENTER INC
8046 KEW GARDENS RD
KEW GARDENS, NY 114151154
7182611000
INNOVATIVE REHABILITATION CONSULTANT MEDICAL PC
9701 66TH AVE
REGO PARK, NY 113744245
7182755200
Source: CMS National Downloadable File, September 2026.