Graduated: 2019
NPI: 1154983575
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
450 LAKEVILLE RD
NEW HYDE PARK, NY 110421118
5167348900
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
1 HEROES WAY
RIVERHEAD, NY 119012054
6314146871
Source: CMS National Downloadable File, September 2026.