Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1205961927
Practice Locations (3)
99 WOODBURY RD
HICKSVILLE, NY 118013043
5165957454
30 5TH AVE, APT 1D
NEW YORK, NY 100118803
2122282526
30 5TH AVE APT, 1D
NEW YORK, NY 100118803
Source: CMS National Downloadable File, September 2026.