Graduated: 2022
NPI: 1831895788
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
4701 QUEENS BLVD
SUNNYSIDE, NY 111041660
7184601200
Source: CMS National Downloadable File, September 2026.