Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2013
NPI: 1447426333
Practice Locations (1)
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
255 W MONTAUK HWY, LIFE CARE CTR
HAMPTON BAYS, NY 11946
6317235000
Source: CMS National Downloadable File, September 2026.