Medical school: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated: 2020
NPI: 1043804255
Practice Locations (2)
392 N WANTAGH AVE
BETHPAGE, NY 117144100
6466446145
NORTH SHORE-LIJ MEDICAL PC
600 NORTHERN BLVD
GREAT NECK, NY 110215200
5166285920
Source: CMS National Downloadable File, September 2026.