Graduated: 2009
NPI: 1043531452
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
101 SAINT ANDREWS LN
GLEN COVE, NY 115422254
5166747591
CENTRAL SUFFOLK HOSPITAL
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486101
Source: CMS National Downloadable File, September 2026.