Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2021
NPI: 1174280903
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
951 ROANOKE AVE
RIVERHEAD, NY 119012724
6317277832
SAMARITAN MEDICAL SERVICES PC
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
5167052689
Source: CMS National Downloadable File, September 2026.