Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1997
NPI: 1124046131
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
4101 PINE TREE DR, APT 711
MIAMI BEACH, FL 331403621
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
4101 PINE TREE DR, APT 711
MIAMI BEACH, FL 331403621
5162663456
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.