Graduated: 2022
NPI: 1841907383
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST
BAY SHORE, NY 117068408
6319863308
SAMARITAN MEDICAL SERVICES PC
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
5167052689
Source: CMS National Downloadable File, September 2026.