Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2025
NPI: 1659255883
Practice Locations (3)
15 3RD CT
RONKONKOMA, NY 117793025
19100 RIDGEWOOD PKWY, BLDG 1 7TH FLOOR
San Antonio, TX 782590001
19100 RIDGEWOOD PKWY
SAN ANTONIO, TX 782591828
Source: CMS National Downloadable File, September 2026.