Graduated: 1992
NPI: 1396948675
Practice Locations (2)
204 -08 ROCKAWAY POINT BLVD, N SUITE
BREEZYPOINT, NY 116971115
9175734309
11412 BEACH CHANNEL DR, SUITE 6
ROCKAWAY PARK, NY 116942215
9175734309
Source: CMS National Downloadable File, September 2026.