Graduated: 2018
NPI: 1659863462
Practice Locations (2)
COMMUNITY MEDICAL WELLNESS PC
1050 OLD NICHOLS RD, FL 2
ISLANDIA, NY 117495026
6318284545
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
Source: CMS National Downloadable File, September 2026.