Graduated: 2019
NPI: 1568013795
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
MISSION MEDICAL CARE PC
165 N VILLAGE AVE
ROCKVILLE CENTRE, NY 115703701
2128033339
Source: CMS National Downloadable File, September 2026.