Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2008
NPI: 1518271972
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.