Graduated: 2012
NPI: 1275936239
Practice Locations (3)
6916 BURCHELL AVE
ARVERNE, NY 116921112
165 BEACH 116TH ST, FL 2
ROCKAWAY PARK, NY 116942411
9292549359
165 BEACH 116TH ST FL, SUITE 2
ROCKAWAY PARK, NY 116942411
Source: CMS National Downloadable File, September 2026.