Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1194881821
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2520 30TH AVE
ASTORIA, NY 111022448
7188087777
Source: CMS National Downloadable File, September 2026.