Graduated: 2020
NPI: 1396364840
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
EAST POST ROAD MEDICAL SERVICES PC
41 E POST RD
WHITE PLAINS, NY 106014607
9146810600
Source: CMS National Downloadable File, September 2026.