Graduated: 2021
NPI: 1902487036
Practice Locations (4)
234 E 149 ST
BRONX, NY 104515504
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
105 W 125TH ST, FRONT 1 1231
New York, NY 100274444
150 E 42ND ST
New York, NY 100175639
Source: CMS National Downloadable File, September 2026.