Graduated: 2009
NPI: 1972484897
Practice Locations (4)
3438 BELL BLVD, SUITE 301
BAYSIDE, NY 113611745
4246 BARNES AVE
Bronx, NY 104663129
4246 BARNES AVE
BRONX, NY 104663129
6136 170TH ST, APT M4
FRESH MEADOWS, NY 113651953
Source: CMS National Downloadable File, September 2026.