Graduated: 2010
Also: FAMILY PRACTICE
NPI: 1104111079
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
888 OLD COUNTRY RD
PLAINVIEW, NY 118034914
5167193000
CENTRAL SUFFOLK HOSPITAL
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486101
Source: CMS National Downloadable File, September 2026.