Graduated: 2009
NPI: 1902620552
Practice Locations (5)
1449 COMMONWEALTH AVE
Bronx, NY 104603201
3047 AVE U
BROOKLYN, NY 11229
833 58TH ST
BROOKLYN, NY 112203609
8746 20TH AVE, L
BROOKLYN, NY 112144802
575 8TH AVE, FL 10
NEW YORK, NY 100183033
Source: CMS National Downloadable File, September 2026.