Graduated: 1982
NPI: 1265439194
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
95 -25 QUEENS BOULEVARD
REGO PARK, NY 113744510
7189256565
NORTH SHORE-LIJ MEDICAL PC
9525 QUEENS BLVD
REGO PARK, NY 113744510
Source: CMS National Downloadable File, September 2026.