Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1386934917
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
256 MASON AVEUNUE
STATEN ISLAND, NY 103053408
7182261458
Source: CMS National Downloadable File, September 2026.