Graduated: 2025
NPI: 1962339457
Practice Locations (3)
2050 LAKEVILLE RD, 2 ECM 2ND FLOOR
New Hyde Park, NY 110401639
2050 LAKEVILLE RD, SUITE 2
NEW HYDE PARK, NY 110401639
333 E 56TH ST
NEW YORK, NY 100223758
Source: CMS National Downloadable File, September 2026.