Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2013
NPI: 1588002281
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
39 BRENTWOOD RD, SUITE 101
BAY SHORE, NY 117068031
6315917400
Source: CMS National Downloadable File, September 2026.