Graduated: 1993
NPI: 1770659633
Practice Locations (3)
415 ALBEMARLE RD
BROOKLYN, NY 112182332
3474617727
415 ALBEMARLE RD, APT 2B
BROOKLYN, NY 112182300
MERMAID MNR, SUITE 3602
BROOKLYN, NY 11224
7182662100
Source: CMS National Downloadable File, September 2026.