Graduated: 2017
NPI: 1669907143
Practice Locations (2)
BRONX MEDICAL PRACTICE PC
14040 SANFORD AVE
FLUSHING, NY 113552556
7182997295
NORTH SHORE-LIJ MEDICAL PC
101 SAINT ANDREWS LN, SUITE 1
GLEN COVE, NY 115422254
5166741812
Source: CMS National Downloadable File, September 2026.