Graduated: 2020
NPI: 1467069583
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
FULTON MEDICAL PC
60 QUEENS ST, SUITE 100
SYOSSET, NY 117913058
6312719151
Source: CMS National Downloadable File, September 2026.