Graduated: 2012
NPI: 1235405432
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST, 2 NORTH
BAY SHORE, NY 117068408
6319683293
NEW YORK UNIVERSITY
259 1ST ST
MINEOLA, NY 115013957
5166638510
SOUTHWEST SUFFOLK MEDICAL PC
1000 N VILLAGE AVE
ROCKVILLE CENTER, NY 115701000
5167052689
Source: CMS National Downloadable File, September 2026.