Graduated: 1981
NPI: 1609882000
Practice Locations (5)
10017 23RD AVE
EAST ELMHURST, NY 113691305
7184264800
10030 DITMARS BLVD
EAST ELMHURST, NY 113691333
7184264800
10201 66TH RD
FOREST HILLS, NY 113752029
7184264800
10210 66TH RD, SUITE 1G
FOREST HILLS, NY 113757608
7184264800
6180 WOODHAVEN BLVD
REGO PARK, NY 113742742
7184264800
Source: CMS National Downloadable File, September 2026.