Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1952586554
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
888 OLD COUNTRY RD
PLAINVIEW, NY 118034914
5167193000
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
Source: CMS National Downloadable File, September 2026.