Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1990
NPI: 1609868884
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
3003 NEW HYDE PARK RD, SUITE 306
NEW HYDE PARK, NY 110421214
5163520022
Source: CMS National Downloadable File, September 2026.