Graduated: 1991
NPI: 1548616147
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
561 SCHAEFER AVE
ORADELL, NJ 076492517
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
561 SCHAEFER AVE
ORADELL, NJ 076492517
5164057000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1421 3RD AVE
NEW YORK, NY 100281899
2127445538
NORTH SHORE-LIJ MEDICAL PC
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486000
Source: CMS National Downloadable File, September 2026.