This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / NY
NURSE PRACTITIONER
Graduated: 2024
NPI: 1801618640
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117143567
630 W 168TH ST
NEW YORK, NY 100323795
Source: CMS National Downloadable File, September 2026.