Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2011
NPI: 1508140575
Practice Locations (2)
4025 JUNCTION BLVD
CORONA, NY 113681555
7184163937
9109 ROOSEVELT AVE, SUITE 6
JACKSON HEIGHTS, NY 113727995
7182691198
Source: CMS National Downloadable File, September 2026.