Graduated: 2019
NPI: 1548827538
Practice Locations (3)
DIVINITY MEDICAL SERVICES PLLC
23315 HILLSIDE AVE
QUEENS VILLAGE, NY 114272634
7182101945
DIVINITY MEDICAL SERVICES PLLC
1585 DUTCH BROADWAY
VALLEY STREAM, NY 115801333
5164906300
DIVINITY MEDICAL SERVICES PLLC
3379 CROMPOND RD
YORKTOWN HEIGHTS, NY 105983605
9149305550
Source: CMS National Downloadable File, September 2026.