Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1336012475
Practice Locations (2)
7 WOODBURY RD
Farmingville, NY 117382314
7 WOODBURY RD
FARMINGVILLE, NY 117382314
Source: CMS National Downloadable File, September 2026.