Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1497915862
Practice Locations (1)
STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
2701 SUNRISE HWY
ISLIP TERRACE, NY 117522642
6316382375
Source: CMS National Downloadable File, September 2026.