Graduated: 2003
NPI: 1790850998
Practice Locations (5)
2510 30TH AVE
ASTORIA, NY 111022448
7184248922
83 -05 GRAND AVE
ELMHURST, NY 113734104
7184248922
119 09
FLUSHING, NY 113541022
7184248922
4500 PARSONS BLVD
FLUSHING, NY 113552205
7184248922
119 03
RICHMOND HILL, NY 114191322
7184410184
Source: CMS National Downloadable File, September 2026.