Graduated: 2008
NPI: 1124269741
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
75 -59
GLEN OAKS, NY 110041150
7184708100
NORTH SHORE-LIJ MEDICAL PC
7559 263RD ST, RM 132
GLEN OAKS, NY 110041150
7184708023
Source: CMS National Downloadable File, September 2026.