Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1649261074
Practice Locations (2)
2523 KINGS HWY, SUITE 1D
BROOKLYN, NY 112291705
7186928984
MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC
11129 QUEENS BLVD
FOREST HILLS, NY 113755553
7182758900
Source: CMS National Downloadable File, September 2026.