Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1997
NPI: 1588647879
Practice Locations (2)
6259 108TH ST, APT 1L
FOREST HILLS, NY 113751307
7182757590
NEW YORK QUEENS MEDICINE AND SURGERY, P.C.
5916 174TH ST
FRESH MEADOWS, NY 113651539
7186702731
Source: CMS National Downloadable File, September 2026.