Graduated: 1983
NPI: 1831257823
Practice Locations (3)
5000 15TH AVE
BROOKLYN, NY 112193701
7188517500
200 LAFAYETTE AVE
STATEN ISLAND, NY 103011219
7188517500
275 CASTLETON AVE
STATEN ISLAND, NY 103012709
7188517500
Source: CMS National Downloadable File, September 2026.