Graduated: 2017
NPI: 1811409089
Practice Locations (4)
5 DAKOTA DR, SUITE 307
New Hyde Park, NY 110421106
1979 MARCUS AVE
NEW HYDE PARK, NY 110421068
5 DAKOTA DR
NEW HYDE PARK, NY 110421188
5 DAKOTA DR, SUITE 307
NEW HYDE PARK, NY 110421188
Source: CMS National Downloadable File, September 2026.