Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1811054893
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
5 CUBA HILL RD
GREENLAWN, NY 117401624
6316285000
Source: CMS National Downloadable File, September 2026.