Graduated: 2020
NPI: 1649880352
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
270 PARK AVE
HUNTINGTON, NY 117432787
6314276060
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
450 LAKEVILLE RD
NEW HYDE PARK, NY 110421118
5167348900
Source: CMS National Downloadable File, September 2026.