Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2010
NPI: 1760745046
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
600 NORTHERN BLVD
GREAT NECK, NY 110215200
5164702020
Source: CMS National Downloadable File, September 2026.