Graduated: 2023
NPI: 1316620511
Practice Locations (2)
MISSION MEDICAL CARE PC
165 N VILLAGE AVE
ROCKVILLE CENTRE, NY 115703701
2128033339
NORTH SHORE-LIJ MEDICAL PC
300 FRANKLIN AVE
VALLEY STREAM, NY 115802161
5165998280
Source: CMS National Downloadable File, September 2026.