Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1427175694
Practice Locations (2)
1979 MARCUS AVE, SUITE C101
NEW HYDE PARK, NY 110421076
1979 MARCUS AVE, SUITE C101
NEW HYDE PARK, NY 110424107
Source: CMS National Downloadable File, September 2026.