Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1073073763
Practice Locations (2)
400 KELBY ST, FL 9
FORT LEE, NJ 070242939
161 FORT WASHINGTON AVE, FL 8
NEW YORK, NY 100323729
Source: CMS National Downloadable File, September 2026.