Graduated: 1994
NPI: 1578507406
Practice Locations (2)
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
9525 QUEENS BLVD, SUITE 3D
REGO PARK, NY 113744510
7189256212
AVANTGARDE REHABILITATION LIMITED LIABILITY COMPANY
520 BLOOMINGDALE RD
STATEN ISLAND, NY 103092061
7186051300
Source: CMS National Downloadable File, September 2026.