Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1114899218
Practice Locations (1)
42 BROADWAY, SUITE 1535
NEW YORK, NY 100043885
2123934673
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1114899218
42 BROADWAY, SUITE 1535
NEW YORK, NY 100043885
2123934673
Source: CMS National Downloadable File, September 2026.