Graduated: 1982
Offers telehealth
NPI: 1316054539
Practice Locations (3)
7506 ELIOT AVE
Middle Village, NY 113791207
7506 ELIOT AVE
MIDDLE VILLAGE, NY 113791202
7506 ELIOT AVE
MIDDLE VILLAGE, NY 113791207
7186394258
Source: CMS National Downloadable File, September 2026.