Graduated: 2018
NPI: 1710482484
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.