Graduated: 2019
NPI: 1861052458
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5168765555
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.