Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2006
NPI: 1154483501
Practice Locations (3)
650 5TH ST, SUITE 405
SAN FRANCISCO, CA 941071521
15 GRUMMAN RD W, SUITE 1400
Bethpage, NY 117145029
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.