Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1255357588
Practice Locations (2)
NEW YORK UNIVERSITY
11700 MAIN RD, SUITE 7
MATTITUCK, NY 119521525
6319634770
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
Source: CMS National Downloadable File, September 2026.