Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 2005
NPI: 1316261118
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
1999 MARCUS AVE, M6
NEW HYDE PARK, NY 110422016
5162333652
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
Source: CMS National Downloadable File, September 2026.