Graduated: 2016
NPI: 1326896499
Practice Locations (3)
1705 E 17TH ST, LOWR LEVEL
Brooklyn, NY 112292645
1705 E 17TH ST LOWR LEVEL
Brooklyn, NY 112292645
1705 E 17TH ST, LOWR LEVEL
BROOKLYN, NY 112292645
Source: CMS National Downloadable File, September 2026.