Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2000
NPI: 1730112756
Practice Locations (3)
UNITED MEMORIAL MEDICAL CENTER
194 MAYTIME DR
JERICHO, NY 117532251
5853436030
WESTERN NEW YORK MEDICAL PRACTICE PC
194 MAYTIME DR
JERICHO, NY 117532251
5859223122
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
Source: CMS National Downloadable File, September 2026.