Graduated: 2011
NPI: 1275054785
Practice Locations (2)
BLACK HALL DENTAL PC
1999 MARCUS AVE, SUITE M1
NEW HYDE PARK, NY 110421023
5165622470
WHITE HALL DENTAL, PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707110
Source: CMS National Downloadable File, September 2026.