Graduated: 1997
Also: GENERAL SURGERY
NPI: 1275764581
Practice Locations (2)
301 E 79TH ST, APT 7S
NEW YORK, NY 100750935
9174421115
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.