Graduated: 2011
NPI: 1023302346
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
202 S PARKER ST, UNIT 745
TAMPA, FL 336062606
5164057000
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.