Graduated: 2015
NPI: 1285156331
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
Source: CMS National Downloadable File, September 2026.