Graduated: 2019
NPI: 1588210561
Practice Locations (2)
HICKSVILLE FAMILY MEDICAL CARE PLLC
232 W OLD COUNTRY RD
HICKSVILLE, NY 118014011
5169381550
NORTH SHORE LIJ URGENT CARE PC
2689 BROADWAY
NEW YORK, NY 100254412
7186198261
Source: CMS National Downloadable File, September 2026.