Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2002
NPI: 1649457235
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
270 PARK AVE, SUITE 1
HUNTINGTON, NY 117432787
6313512219
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.