Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2008
NPI: 1396900569
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
1995 NEW YORK AVE
HUNTINGTON STATION, NY 117463258
6319231336
Source: CMS National Downloadable File, September 2026.