Graduated: 1987
NPI: 1447294764
Practice Locations (3)
1336 UTICA AVE, 1ST FLOOR
Brooklyn, NY 112035912
1336 UTICA AVE
BROOKLYN, NY 112035912
1336 UTICA AVE, FL 1
BROOKLYN, NY 112035912
7187560918
Source: CMS National Downloadable File, September 2026.