Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1164146676
Practice Locations (1)
WAYLAND FAMILY AND SPORTS MEDICINE, P.C.
2870 STATE ROUTE 21
WAYLAND, NY 145729709
5857282070
Source: CMS National Downloadable File, September 2026.