Graduated: 2001
NPI: 1932174174
Practice Locations (4)
23, 31ST 2ND FL
ASTORIA, NY 111052808
23 17
ASTORIA, NY 111052808
2317 31ST ST
ASTORIA, NY 111052808
5164997090
2317 31ST ST, FL 2
ASTORIA, NY 111052808
Source: CMS National Downloadable File, September 2026.