Graduated: 1993
NPI: 1023193000
Practice Locations (4)
FPA HOSPITAL BASED
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
7182674390
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK, NY 100751850
2124342140
THE NEW YORK PROTON CENTER
225 E 126TH ST
NEW YORK, NY 100351406
6469689064
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
Source: CMS National Downloadable File, September 2026.