Graduated: 2024
NPI: 1285497008
Practice Locations (2)
ST. JOSEPH HOSPITAL
4295 HEMPSTEAD TPKE
BETHPAGE, NY 117145713
5165796000
CITY MEDICAL OF UPPER EAST SIDE PLLC
10202 LIBERTY AVE
OZONE PARK, NY 114171727
7185719265
Source: CMS National Downloadable File, September 2026.