Graduated: 2016
NPI: 1790130987
Practice Locations (3)
5402 FORT HAMILTON PKWY, 6TH FLOOR
BROOKLYN, NY 112194037
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
13640 BRIARWICK DR, SUITE 110
AUSTIN, TX 787291706
Source: CMS National Downloadable File, September 2026.