Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1801821293
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2129873100
Source: CMS National Downloadable File, September 2026.