Graduated: 1993
NPI: 1235220278
Practice Locations (5)
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165624100
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
1519 MARION ST
COLUMBIA, SC 292012910
8032965954
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
1025 VERDAE BLVD, SUITE A
GREENVILLE, SC 296074032
8642424683
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
1210 W FARIS RD
GREENVILLE, SC 296054444
8645221800
Source: CMS National Downloadable File, September 2026.