Graduated: 2009
NPI: 1366686255
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST
BAY SHORE, NY 117068408
6319683636
NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5163289800
Source: CMS National Downloadable File, September 2026.