This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MI
PHYSICIAN ASSISTANT
Graduated: 2024
NPI: 1316704711
PO BOX, SUITE 1608
GRAND RAPIDS, MI 49501
22 WESTMINSTER ST
MASSAPEQUA, NY 117587340
Source: CMS National Downloadable File, September 2026.