Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1578853404
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
Source: CMS National Downloadable File, September 2026.