Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2005
NPI: 1295759447
Practice Locations (3)
2240 MOTT AVE
FAR ROCKAWAY, NY 116913070
7184713159
201 -5 E MERRICK RD
Valley Stream, NY 115805939
201 -5 E MERRICK RD
VALLEY STREAM, NY 115805939
5168253131
Source: CMS National Downloadable File, September 2026.