Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1396454435
Practice Locations (2)
PO BOX, SUITE 1554
STONY BROOK, NY 11790
PO BOX, SUITE 1554
STONY BROOK, NY 117900988
Source: CMS National Downloadable File, September 2026.