Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1801069919
Practice Locations (1)
STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 117940001
6316380966
Source: CMS National Downloadable File, September 2026.