Graduated: 2010
NPI: 1679871727
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
1111 MARCUS AVE
NEW HYDE PARK, NY 110421034
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.