Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2015
NPI: 1548647910
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
1 SCHOOL ST, SUITE 203
GLEN COVE, NY 115422529
5166719800
Source: CMS National Downloadable File, September 2026.