Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1990
NPI: 1255395315
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5168765555
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1421 3RD AVE
NEW YORK, NY 100281899
2127445538
Source: CMS National Downloadable File, September 2026.