Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1134475189
Practice Locations (2)
200 BROADHOLLOW RD, SUITE 207
MELVILLE, NY 117474806
6316367050
200 BROADHOLLOW RD, SUITE 207
MELVILLE, NY 117474987
Source: CMS National Downloadable File, September 2026.