Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1225399264
Practice Locations (2)
1301 DEER PARK AVE
NORTH BABYLON, NY 117032728
PO BOX, SUITE 1554
STONY BROOK, NY 117900988
Source: CMS National Downloadable File, September 2026.