Graduated: 2020
NPI: 1841894763
Practice Locations (4)
2007 46TH ST FL, SUITE 3
Astoria, NY 111051211
2510 30TH AVE
ASTORIA, NY 111022418
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
150 E 42ND ST
NEW YORK, NY 100175612
Source: CMS National Downloadable File, September 2026.