Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2000
NPI: 1023048253
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
26 CHURCH CT
CLOSTER, NJ 076242803
5164057080
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
26 CHURCH CT
CLOSTER, NJ 076242803
5164057080
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK, NY 100751850
2124346980
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.