Graduated: 1998
NPI: 1679598726
Practice Locations (2)
HICKSVILLE FAMILY MEDICAL CARE PLLC
3715 23RD AVE
ASTORIA, NY 111051993
8559367362
HICKSVILLE FAMILY MEDICAL CARE PLLC
8010 NORTHERN BLVD
JACKSON HEIGHTS, NY 113721345
8559367362
Source: CMS National Downloadable File, September 2026.