Graduated: 2008
NPI: 1508222456
Practice Locations (4)
3010 W 33RD ST
BROOKLYN, NY 112241404
9083370641
838 FAIR ST
CARMEL, NY 105123085
9083370641
63 RAYMOND PL
HEWLETT, NY 115572309
9083370641
130 IRVING PL
WOODMERE, NY 115981224
5167126956
Source: CMS National Downloadable File, September 2026.