Graduated: 2018
NPI: 1548821887
Practice Locations (2)
ST JOSEPHS MEDICAL GROUP PC
224 HAMBURG TPKE
WAYNE, NJ 074702168
9735696118
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5168765555
Source: CMS National Downloadable File, September 2026.