Graduated: 2021
NPI: 1972006187
Practice Locations (4)
9835 LAKE WORTH RD
LAKE WORTH, FL 334672300
119 A GREENVILLE RD
POMONA PARK, FL 321812251
831 BEDFORD AVE, SUITE 530
BROOKLYN, NY 112052801
1236 SHADYSIDE AVE SW
CANTON, OH 447102050
Source: CMS National Downloadable File, September 2026.