Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1996
NPI: 1518983378
Practice Locations (2)
FPA HOSPITAL BASED
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
7182674390
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
2020 WANTAGH AVE, MOUNT SINAI DOCTORS WANTAGH
WANTAGH, NY 117933931
5169614545
Source: CMS National Downloadable File, September 2026.