Graduated: 1991
Offers telehealth
NPI: 1952344608
Practice Locations (3)
89 -12 WOODHAVEN BLVD
WOODHAVEN, NY 11421
89 -12 WOODHAVEN BLVD
WOODHAVEN, NY 114212614
8912 WOODHAVEN BLVD
WOODHAVEN, NY 114212614
7184412640
Source: CMS National Downloadable File, September 2026.