Graduated: 2018
NPI: 1003469032
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
440 E MAIN ST
BAY SHORE, NY 117068501
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
450 LAKEVILLE RD
NEW HYDE PARK, NY 110421118
5167348900
Source: CMS National Downloadable File, September 2026.