Graduated: 2001
NPI: 1386698819
Practice Locations (3)
15611 AGUILAR AVE, SUITE 1020
FLUSHING, NY 113672705
7183804750
7182 PARSONS BLVD
FRESH MEADOWS, NY 113654599
7183804750
HOMESIDE REHAB PT OT SLP LLC
441 ROUTE 306, SUITE 2
MONSEY, NY 109521234
7183775000
Source: CMS National Downloadable File, September 2026.