Graduated: 1995
NPI: 1760545883
Practice Locations (3)
4500 PARSONS BLVD
FLUSHING, NY 113552205
7185750410
5645 MAIN ST
FLUSHING, NY 113555045
7185750410
10933 71ST RD, 1E
FOREST HILLS, NY 113754813
7185750410
Source: CMS National Downloadable File, September 2026.