Graduated: 2021
NPI: 1629463690
Practice Locations (3)
2175 LEMOINE AVE, SUITE 401A
FORT LEE, NJ 070246019
9172424585
4221 FRANCIS BLVD, SUITE 107
BAYSIDE, NY 113612573
9172424585
5925 KISSENA BLVD, SUITE 800
FLUSHING, NY 113555598
7343551166
Source: CMS National Downloadable File, September 2026.