Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1841419637
Practice Locations (3)
45 -35
AUBURNDALE, NY 113583533
4535 194TH ST
AUBURNDALE, NY 113583533
9176980090
4535 194TH ST
FLUSHING, NY 113583533
Source: CMS National Downloadable File, September 2026.