Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1962674937
Practice Locations (1)
NORTH SHORE LIJ URGENT CARE PC
3631 HEMPSTEAD TPKE, 63A
LEVITTOWN, NY 117561315
5165379063
Source: CMS National Downloadable File, September 2026.