Graduated: 1976
NPI: 1710969167
Practice Locations (3)
ST JOHN'S MEDICAL SERVICES PC
1909 PLAINVIEW AVE
FAR ROCKAWAY, NY 116914423
7188697690
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697000
ST JOHN'S MEDICAL SERVICES PC
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697919
Source: CMS National Downloadable File, September 2026.