Graduated: 2011
NPI: 1790071561
Practice Locations (3)
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
STC PEDIATRICS LLC
160 E ERIE AVE
PHILADELPHIA, PA 191341011
2154275234
NORTH SHORE-LIJ MEDICAL PC
4020 SANFORD DR
JOHNSON CITY, TN 376011056
5164057080
Source: CMS National Downloadable File, September 2026.