Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1437809027
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.