Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2005
Offers telehealth
NPI: 1093842965
Practice Locations (1)
STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 117333470
6314446270
Source: CMS National Downloadable File, September 2026.