Graduated: 1994
NPI: 1962448597
Practice Locations (3)
3049 OCEAN PKWY, SUITE 305
BROOKLYN, NY 112358395
7183339070
3071 BRIGHTON 13TH ST, LOWR LEVEL
BROOKLYN, NY 112355607
3472546292
433 ATLANTIC AVE
STATEN ISLAND, NY 103052335
7189983020
Source: CMS National Downloadable File, September 2026.