Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1977
NPI: 1518066497
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
270 PARK AVE, SUITE 1
HUNTINGTON, NY 117432787
6313512219
Source: CMS National Downloadable File, September 2026.