Graduated: 1982
NPI: 1497741060
Practice Locations (3)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697000
ST JOHN'S MEDICAL SERVICES PC
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697919
8 NEW YORK AVE
FREEPORT, NY 115202017
Source: CMS National Downloadable File, September 2026.