Graduated: 1987
NPI: 1760448468
Practice Locations (3)
295 KIMBALL ST
WOODBRIDGE, NJ 070952518
30 HEMPSTEAD AVE, SUITE 144
ROCKVILLE CENTRE, NY 115704034
30 HEMPSTEAD AVE, SUITE 144
ROCKVILLE CENTRE, NY 115704076
Source: CMS National Downloadable File, September 2026.