Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2012
NPI: 1659710952
Practice Locations (2)
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1220 HICKSVILLE RD
SEAFORD, NY 117831604
5162663456
NORTH SHORE-LIJ MEDICAL PC
900 FRANKLIN AVE
VALLEY STREAM, NY 115802145
5162566000
Source: CMS National Downloadable File, September 2026.