Graduated: 2013
NPI: 1518492602
Practice Locations (3)
331 NEWMAN SPRINGS RD
RED BANK, NJ 077015688
2201 HEMPSTEAD TPKE, MEDICAL STAFF OFFICE
East Meadow, NY 115541859
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 115545400
Source: CMS National Downloadable File, September 2026.