Graduated: 2014
NPI: 1275912552
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
101 SAINT ANDREWS LN, SUITE 1
GLEN COVE, NY 115422254
5166741812
SOUTHWEST SUFFOLK MEDICAL PC
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.