Graduated: 2025
NPI: 1760168082
Practice Locations (3)
2533 BERT KOUNS INDUSTRIAL LOOP, SUITE 106
SHREVEPORT, LA 711186124
31 SPENCER ST, SUITE 1501
BROOKLYN, NY 112055289
831 BEDFORD AVE, SUITE 530
BROOKLYN, NY 112052801
Source: CMS National Downloadable File, September 2026.