Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1710195326
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
366 JERICHO TPKE
MINEOLA, NY 115011620
5167424015
Source: CMS National Downloadable File, September 2026.