Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1194931766
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
101 SAINT ANDREWS LN, SUITE 1
GLEN COVE, NY 115422254
5166741812
Source: CMS National Downloadable File, September 2026.