Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1124194543
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.