Graduated: 1989
NPI: 1992701791
Practice Locations (4)
PO BOX, SUITE 464
RUTHERFORD, NJ 070700471
16 ATLANTIC AVE, FL 2
LYNBROOK, NY 115633046
1979 MARCUS AVE, SUITE C101
NEW HYDE PARK, NY 110421068
972 BRUSH HOLLOW RD
WESTBURY, NY 115901740
Source: CMS National Downloadable File, September 2026.