Graduated: 2021
NPI: 1700753076
Practice Locations (2)
MEDICAL SERVICES OF NORTHEASTERN QUEENS PLLC
8008 45TH AVE
ELMHURST, NY 113733545
7186391800
MY MEDICAL PC
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 103054803
7187090940
Source: CMS National Downloadable File, September 2026.