Graduated: 2014
NPI: 1003234154
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
7559 263RD ST, RM 132
GLEN OAKS, NY 110041150
7184708023
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE LEVY PLACE
NEW YORK, NY 100296500
2128248150
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1425 MADISON AVE
NEW YORK, NY 100296514
2128248150
Source: CMS National Downloadable File, September 2026.