Graduated: 1986
NPI: 1497796197
Practice Locations (4)
10 LENOX RD, APT 2F
ROCKVILLE CENTRE, NY 115705203
10 LENOX RD, APT 2F
ROCKVILLE CENTRE, NY 115705270
5164268886
55 LENOX RD, APT 1F
ROCKVILLE CENTRE, NY 115705207
55 LENOX RD, APT 1F
ROCKVILLE CENTRE, NY 115705234
Source: CMS National Downloadable File, September 2026.