Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1326132986
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
425 W 59TH ST
NEW YORK, NY 100198022
2124925500
Source: CMS National Downloadable File, September 2026.