Graduated: 2024
NPI: 1679424618
Practice Locations (3)
2579 OCEAN AVE, FLOOR 3
Brooklyn, NY 112294552
3000 STEVENS ST UNIT, SUITE 29
Oceanside, NY 115722039
3000 STEVENS ST, UNIT 29
OCEANSIDE, NY 115722039
Source: CMS National Downloadable File, September 2026.