Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2020
NPI: 1679102552
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
611 NORTHERN BOULEVARD, SUITE 150
GREAT NECK, NY 110215209
5163257050
Source: CMS National Downloadable File, September 2026.