Graduated: 2025
NPI: 1902794779
Practice Locations (5)
2308 30TH AVE
ASTORIA, NY 111023397
448 NEPTUNE AVE APT, 22C
Brooklyn, NY 112244458
1100 CONEY ISLAND AVE, SUITE 2
BROOKLYN, NY 112302343
2968 AVE X
BROOKLYN, NY 11235
6623 RIDGE BLVD, APT 3A
BROOKLYN, NY 112204808
Source: CMS National Downloadable File, September 2026.