Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1477887743
Practice Locations (3)
2021 SEAGIRT BLVD APT, 4G
Far Rockaway, NY 116912903
2021 SEAGIRT BLVD, APT 4G
FAR ROCKAWAY, NY 116912903
156 W 56TH ST, SUITE 1804
NEW YORK, NY 100193878
Source: CMS National Downloadable File, September 2026.