Graduated: 2022
NPI: 1619473469
Practice Locations (4)
27 RANDOLPH RD
HOWELL, NJ 077318611
1623 KINGS HWY
BROOKLYN, NY 11229
3047 AVE U
BROOKLYN, NY 11229
421 8TH AVE UNIT, SUITE 7375
New York, NY 101168981
Source: CMS National Downloadable File, September 2026.