Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1316105349
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST, 2 NORTH
BAY SHORE, NY 117068408
6319683293
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.