Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1275603326
Practice Locations (1)
CITY MEDICAL OF UPPER EAST SIDE PLLC
415 NORTHERN BLVD
GREAT NECK, NY 110214812
5168292273
Source: CMS National Downloadable File, September 2026.