Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1063415420
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
17660 UNION TPKE
FRESH MEADOWS, NY 113661526
7188209015
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
Source: CMS National Downloadable File, September 2026.