Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1174557979
Practice Locations (2)
13336 41ST RD
FLUSHING, NY 113553666
7182680010
14453 JEWEL AVE
FLUSHING, NY 113671722
Source: CMS National Downloadable File, September 2026.