Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1720030653
Practice Locations (1)
HALIFAX HEALTHCARE SYSTEMS INC
201 N CLYDE MORRIS BLVD, SUITE 200
DAYTONA BEACH, FL 321142765
3869474665
Source: CMS National Downloadable File, September 2026.