Graduated: 1999
NPI: 1720285588
Practice Locations (2)
OPTUM MEDICAL CARE PC
15636 A CROSSBAY BLVD
HOWARD BEACH, NY 114142745
7187380700
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
Source: CMS National Downloadable File, September 2026.