Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1124002423
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
665 WESTFALL WAY
CHAPEL HILL, NC 275175414
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
613 YORKSHIRE RD
WINSTON SALEM, NC 271065541
5164057000
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.