Graduated: 1983
Also: FAMILY PRACTICE, GENERAL PRACTICE
NPI: 1710967393
Practice Locations (2)
104 -60 QUEENS BLVD, SUITE CH
FOREST HILLS, NY 113757318
10460 QUEENS BLVD, SUITE CH
FOREST HILLS, NY 113757366
7182754849
Source: CMS National Downloadable File, September 2026.