Graduated: 1984
NPI: 1215007653
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
269 -01
NEW HYDE PARK, NY 110401433
7184703000
NORTH SHORE-LIJ MEDICAL PC
26901 76TH AVE
NEW HYDE PARK, NY 110401433
Source: CMS National Downloadable File, September 2026.