Graduated: 2018
NPI: 1710444385
Practice Locations (4)
6401 55TH AVE
Maspeth, NY 113781623
6401 55TH AVE
MASPETH, NY 113781623
1468 MADISON AVE
NEW YORK, NY 100296508
150 E 42ND ST
NEW YORK, NY 100175612
Source: CMS National Downloadable File, September 2026.