Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
NPI: 1104059427
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
101 SAINT ANDREWS LN, SUITE 1
GLEN COVE, NY 115422254
5166741812
Source: CMS National Downloadable File, September 2026.