Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1063704880
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
5 CUBA HILL RD
GREENLAWN, NY 117401624
6316285000
Source: CMS National Downloadable File, September 2026.