Graduated: 2004
NPI: 1790983450
Practice Locations (3)
3441 LEXINGTON AVE
MOHEGAN LAKE, NY 105471278
9176203087
888 OLD COUNTRY RD
PLAINVIEW, NY 118034914
5167193000
221 JERICHO TPKE
SYOSSET, NY 117914515
5164966400
Source: CMS National Downloadable File, September 2026.