Graduated: 2001
NPI: 1265744577
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
250 E MAIN ST
BAY SHORE, NY 117068402
6314701540
NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
900 FRANKLIN AVE
VALLEY STREAM, NY 115802145
5163289800
Source: CMS National Downloadable File, September 2026.