Graduated: 1998
NPI: 1801902036
Practice Locations (3)
2986 OTIS AVE
BRONX, NY 104652138
9177966315
2986 OTIS AVE, SUITE 1
BRONX, NY 104652138
5165448117
6214 RIVERDALE AVE, SUITE 2C
BRONX, NY 104711032
9177966315
Source: CMS National Downloadable File, September 2026.