Graduated: 2021
NPI: 1245908342
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
NORTH SHORE-LIJ MEDICAL PC
27005 76TH AVE GF
NEW HYDE PARK, NY 110401402
7184707501
Source: CMS National Downloadable File, September 2026.