Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2006
NPI: 1609016815
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
1 DAKOTA DR
NEW HYDE PARK, NY 110421135
5166086800
Source: CMS National Downloadable File, September 2026.