Graduated: 2003
NPI: 1851588826
Practice Locations (3)
4295 HEMPSTEAD TPKE
BETHPAGE, NY 117145713
5165796000
888 OLD COUNTRY RD
PLAINVIEW, NY 118034914
5167193000
221 JERICHO TPKE
SYOSSET, NY 117914515
5164966400
Source: CMS National Downloadable File, September 2026.