Graduated: 2021
NPI: 1376196758
Practice Locations (2)
MAIMONIDES FACULTY PRACTICE PLAN
4422 9TH AVE
BROOKLYN, NY 112201603
7182838773
MAIMONIDES FACULTY PRACTICE PLAN
4802 10TH AVE
BROOKLYN, NY 112192916
7182836000
Source: CMS National Downloadable File, September 2026.