Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2007
NPI: 1497945950
Practice Locations (2)
464 77TH ST
BROOKLYN, NY 112093206
7186808383
NORTH SHORE-LIJ MEDICAL PC
78 CROMWELL AVE
STATEN ISLAND, NY 103043912
7189815900
Source: CMS National Downloadable File, September 2026.