Graduated: 2012
NPI: 1679994156
Practice Locations (2)
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184704449
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.