Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1811965544
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
270 PARK AVE, SUITE 1
HUNTINGTON, NY 117432787
6313512219
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.