Graduated: 2021
NPI: 1659044618
Practice Locations (2)
MAPLE EYECARE, LLC
190 DAYTON ST, SUITE 2
RIDGEWOOD, NJ 074504425
2014443173
STATE OF NEW YORK COMPTROLLERS OFFICE
33 W 42ND ST
NEW YORK, NY 100368005
2129384001
Source: CMS National Downloadable File, September 2026.