Graduated: 2021
NPI: 1992385660
Practice Locations (4)
77 COMMERCIAL ST APT, 2702N
Brooklyn, NY 112228091
374 STOCKHOLM ST
BROOKLYN, NY 112374006
85 BROAD ST, FL 18
NEW YORK, NY 100042408
6024 RIDGE AVE, SUITE 116 356
PHILADELPHIA, PA 191281601
Source: CMS National Downloadable File, September 2026.