Graduated: 2015
NPI: 1003299298
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
150 -55
WHITESTONE, NY 113571817
7185593300
NORTH SHORE-LIJ MEDICAL PC
15055 14TH AVE
WHITESTONE, NY 113571817
7185593300
Source: CMS National Downloadable File, September 2026.