Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1995
NPI: 1477569416
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
325 PARK AVE
HUNTINGTON, NY 117432779
6316594400
Source: CMS National Downloadable File, September 2026.