Graduated: 2017
NPI: 1578053526
Practice Locations (2)
MASSAPEQUA PT AND PTA PLLC
913 N BROADWAY
MASSAPEQUA, NY 117582364
5164546387
MASSAPEQUA PT AND PTA PLLC
913 N BROADWAY
N MASSEPEQUA, NY 117582364
Source: CMS National Downloadable File, September 2026.