Graduated: 2009
NPI: 1336454842
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
600 COMMUNITY DR, SUITE 400
MANHASSET, NY 110303818
5166001100
NORTH SHORE-LIJ MEDICAL GROUP PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
Source: CMS National Downloadable File, September 2026.