Graduated: 1973
Offers telehealth
NPI: 1801934013
Practice Locations (3)
6504 GRAND AVE
FLUSHING, NY 113782423
7188949274
65 04 GRAND AVE
Maspeth, NY 113782423
6504 GRAND AVE
MASPETH, NY 113782423
7188949274
Source: CMS National Downloadable File, September 2026.