Graduated: 2007
NPI: 1942684915
Practice Locations (4)
45 RESEARCH WAY, SUITE 206
EAST SETAUKET, NY 117336401
10 W 135TH ST APT, 10H
NEW YORK, NY 100372623
150 E 42ND ST
NEW YORK, NY 100175639
55 WATER ST, FL 2
NEW YORK, NY 100410029
Source: CMS National Downloadable File, September 2026.