Graduated: 2025
NPI: 1104701671
Practice Locations (2)
STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 117333470
6314446270
STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
P O BOX, SUITE 1554
STONY BROOK, NY 117900989
Source: CMS National Downloadable File, September 2026.