Graduated: 1998
NPI: 1588643779
Practice Locations (6)
2510 30TH AVE
ASTORIA, NY 111022448
7189329070
2920 NEWTOWN AVE
ASTORIA, NY 111022129
7189329070
3415 31ST AVE
ASTORIA, NY 111061450
7189329070
11903 101ST AVE
JAMAICA, NY 114191322
7189329070
12046 QUEENS BLVD
KEW GARDENS, NY 114151204
7189329070
3401 35TH AVE
LONG ISLAND CITY, NY 111061222
7189329070
Source: CMS National Downloadable File, September 2026.