Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2001
NPI: 1497795983
Practice Locations (3)
64 -05 YELLOWSTONE BLVD, CF 103
FOREST HILLS, NY 113751530
6405 YELLOWSTONE BLVD
FOREST HILLS, NY 113751530
7188300201
6405 YELLOWSTONE BLVD, SUITE CF103
FOREST HILLS, NY 113751530
Source: CMS National Downloadable File, September 2026.