Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
Also: SPORTS MEDICINE
NPI: 1821160581
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 110215201
5167232663
Source: CMS National Downloadable File, September 2026.