Graduated: 2023
NPI: 1699454173
Practice Locations (3)
190 72ND ST APT, SUITE 134
Brooklyn, NY 112092072
190 72ND ST, APT 134
BROOKLYN, NY 112092035
190 72ND ST, APT 134
BROOKLYN, NY 112092072
3476202080
Source: CMS National Downloadable File, September 2026.