Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
NPI: 1922440726
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
215 ROCKAWAY TPKE
LAWRENCE, NY 115591216
5163745024
Source: CMS National Downloadable File, September 2026.