Graduated: 1989
NPI: 1528046067
Practice Locations (3)
3916 PRINCE ST
FLUSHING, NY 113545361
3916 PRINCE ST, SUITE 352
FLUSHING, NY 113545367
7185398868
139 CENTRE ST, SUITE 303
NEW YORK, NY 100134554
2125718886
Source: CMS National Downloadable File, September 2026.