Graduated: 2021
NPI: 1861113441
Practice Locations (4)
3347 213TH ST
Bayside, NY 113611560
3347 213TH ST
BAYSIDE, NY 113611560
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
NORTH SHORE-LIJ MEDICAL PC
17660 UNION TPKE
FRESH MEADOWS, NY 113661526
7188209015
Source: CMS National Downloadable File, September 2026.