Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2012
NPI: 1831457829
Practice Locations (3)
MEDICAL SERVICES OF KIPS BAY PC
170 GREAT NECK RD
GREAT NECK, NY 110213357
5164874464
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165624100
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.