Graduated: 2013
NPI: 1154749984
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK, NY 100751850
2124346980
MARCUS AVENUE MEDICAL PC
451 PARK AVE S
NEW YORK, NY 100167390
2124344775
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.