Graduated: 2018
NPI: 1205312048
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
256 MASON AVE, C
STATEN ISLAND, NY 103053408
7182266400
NORTH SHORE-LIJ MEDICAL PC
256 MASON AVE B
STATEN ISLAND, NY 103053408
7182261595
Source: CMS National Downloadable File, September 2026.