Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2026
NPI: 1356109508
Practice Locations (2)
1305 WALT WHITMAN RD, SUITE 300
Melville, NY 117474300
1305 WALT WHITMAN RD, SUITE 300
MELVILLE, NY 117474300
Source: CMS National Downloadable File, September 2026.