Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1396511218
Practice Locations (2)
7901 BROADWAY
ELMHURST, NY 113731329
7901 BROADWAY, D1 27
ELMHURST, NY 113731368
Source: CMS National Downloadable File, September 2026.