Graduated: 1999
NPI: 1003051087
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
7901 BROADWAY
ELMHURST, NY 113731329
7183344952
NORTH SHORE-LIJ MEDICAL PC
221 JERICHO TPKE
SYOSSET, NY 117914515
5164962752
Source: CMS National Downloadable File, September 2026.