Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2011
NPI: 1093004012
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
39 BRENTWOOD RD
BAY SHORE, NY 117068010
6316665864
Source: CMS National Downloadable File, September 2026.