Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1619903432
Practice Locations (1)
STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 117333470
6314446270
Source: CMS National Downloadable File, September 2026.