Graduated: 2020
NPI: 1134747769
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK, NY 100751850
2124342140
FULTON MEDICAL PC
60 QUEENS ST, SUITE 100
SYOSSET, NY 117913058
6312719151
Source: CMS National Downloadable File, September 2026.