Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1989
NPI: 1619975059
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.