Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1649942723
Practice Locations (1)
PROACTIVE PHYSICAL THERAPY AND SPORTS REHABILITATION PLLC
465 COLUMBUS AVE
VALHALLA, NY 105951336
9147412850
Source: CMS National Downloadable File, September 2026.