Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1999
NPI: 1346226909
Practice Locations (2)
62 GREEN ST
HUNTINGTON, NY 117436912
6315490955
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
Source: CMS National Downloadable File, September 2026.