Graduated: 2006
NPI: 1306039482
Practice Locations (3)
16 ATLANTIC AVE, 2ND FLR
LYNBROOK, NY 115633046
1979 MARCUS AVE, SUITE C101
NEW HYDE PARK, NY 110421076
972 BRUSH HOLLOW RD
WESTBURY, NY 115901740
Source: CMS National Downloadable File, September 2026.