Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2024
NPI: 1457195539
Practice Locations (2)
11045 QUEENS BLVD, SUITE AA
FOREST HILLS, NY 113755501
6851 JERICHO TPKE, SUITE 265
SYOSSET, NY 117914433
Source: CMS National Downloadable File, September 2026.