Graduated: 2022
NPI: 1609594910
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
2001 MARCUS AVE, S50
NEW HYDE PARK, NY 110421039
5163289800
NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
9525 QUEENS BLVD
REGO PARK, NY 113744510
5163289800
Source: CMS National Downloadable File, September 2026.