Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2009
NPI: 1851724405
Practice Locations (2)
1414 SHEEPSHEAD BAY RD, SUITE 103
BROOKLYN, NY 112353814
7189095929
BACK 2 SHAPE PT AND OT PLLC
1414 SHEEPSHEAD BAY RD, SUITE 103
BROOKLYN, NY 112353814
7189095929
Source: CMS National Downloadable File, September 2026.