Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2000
NPI: 1538132154
Practice Locations (2)
3135 31ST ST
ASTORIA, NY 111062591
7182741300
SUFFOLK REHABILITATION MEDICINE, PLLC
806 E MAIN ST
RIVERHEAD, NY 119012563
6315910840
Source: CMS National Downloadable File, September 2026.