Graduated: 2025
NPI: 1962381350
Practice Locations (4)
250 SKILLMAN ST, SUITE 204
BROOKLYN, NY 112054812
831 BEDFORD AVE, SUITE 530
BROOKLYN, NY 112052801
199 DELAWARE AVE
FREEPORT, NY 115201337
9 MERON DR
MONROE, NY 109508436
Source: CMS National Downloadable File, September 2026.