Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1699424002
Practice Locations (2)
400 KELBY ST, FL 9
FORT LEE, NJ 070242939
7 W 30TH ST, FL 9
NEW YORK, NY 100014406
Source: CMS National Downloadable File, September 2026.