Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1609998988
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
1111 MARCUS AVE
NEW HYDE PARK, NY 110421034
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
NORTH SHORE-LIJ MEDICAL PC
27005 76TH AVE GF
NEW HYDE PARK, NY 110401402
7184707501
Source: CMS National Downloadable File, September 2026.