Graduated: 1981
Offers telehealth
NPI: 1750383220
Practice Locations (3)
120 BETHPAGE RD, SUITE 305
Hicksville, NY 118011515
120 BETHPAGE RD
HICKSVILLE, NY 118011515
120 BETHPAGE RD, SUITE 305
HICKSVILLE, NY 118011515
5169351800
Source: CMS National Downloadable File, September 2026.