Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1386808624
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
19950 RINALDI ST, SUITE 200
PORTER RANCH, CA 913264141
8184032400
Source: CMS National Downloadable File, September 2026.