Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1306851118
Practice Locations (3)
6536 99TH ST
REGO PARK, NY 113744358
7188964367
9810 64TH AVE
REGO PARK, NY 113742501
9810 64TH AVE GB
REGO PARK, NY 113742501
7188964367
Source: CMS National Downloadable File, September 2026.