Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1629090071
Practice Locations (1)
PROSPECT CT MEDICAL FOUNDATION INC
1625 STRAITS TPKE
MIDDLEBURY, CT 067621836
2037588107
Source: CMS National Downloadable File, September 2026.