Graduated: 1978
NPI: 1801034277
Practice Locations (3)
4250 HEMPSTEAD TPKE, SUITE 16
BETHPAGE, NY 117145707
5167315070
888 OLD COUNTRY RD
PLAINVIEW, NY 118034914
5167193000
221 JERICHO TPKE
SYOSSET, NY 117914515
5164966400
Source: CMS National Downloadable File, September 2026.