Graduated: 2002
NPI: 1265552277
Practice Locations (2)
HICKSVILLE FAMILY MEDICAL CARE PLLC
3715 23RD AVE
ASTORIA, NY 111051993
8559367362
HICKSVILLE FAMILY MEDICAL CARE PLLC
3007 36TH AVE
LONG ISLAND CITY, NY 111062314
9174106990
Source: CMS National Downloadable File, September 2026.