Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2012
NPI: 1730037581
Practice Locations (2)
PO BOX, SUITE 1554
STONY BROOK, NY 11790
PO BOX, SUITE 1554
STONY BROOK, NY 117900988
Source: CMS National Downloadable File, September 2026.