Graduated: 2022
NPI: 1891445250
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST
BAY SHORE, NY 117068408
6319683636
NORTH SHORE LIJ URGENT CARE PC
50 E JERICHO TPKE
MINEOLA, NY 115013141
5163993068
Source: CMS National Downloadable File, September 2026.