Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2013
NPI: 1750724647
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.