Graduated: 1994
NPI: 1538370929
Practice Locations (2)
MAIDEN LANE MEDICAL PLLC
90 MAIDEN LN, FL 3
NEW YORK, NY 100384831
6462909560
STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
100 NICOLLS RD
STONY BROOK, NY 117903407
6314442222
Source: CMS National Downloadable File, September 2026.