Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1518843788
Practice Locations (2)
42 OAKLEDGE DR
EAST NORTHPORT, NY 117313722
6312403639
515 ROUTE 111, SUITE 1B
HAUPPAUGE, NY 117884339
6312403639
Source: CMS National Downloadable File, September 2026.