Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1548791569
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
26901 76TH AVE
NEW HYDE PARK, NY 110401433
7184703570
Source: CMS National Downloadable File, September 2026.