Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2003
NPI: 1528216769
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.