Graduated: 2003
NPI: 1780921809
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
900 FRANKLIN AVE
VALLEY STREAM, NY 115802145
5162566000
SOUTHWEST SUFFOLK MEDICAL PC
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.