Graduated: 1998
NPI: 1487687851
Practice Locations (3)
935 NORTHERN BLVD, SUITE 103
GREAT NECK, NY 110215309
5164720088
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
506 LENOX AVE
NEW YORK, NY 100371802
2129391840
SOUTHSHORE OTOLARYNGOLOGY PC
176 N VILLAGE AVE, SUITE 1A
ROCKVILLE CENTRE, NY 115703800
516678030318
Source: CMS National Downloadable File, September 2026.