Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1841710043
Practice Locations (2)
41 JOHN ST
BABYLON, NY 117022932
6312043375
FUNCTIONAL NUTRITION LI PLLC
41 JOHN ST
BABYLON, NY 117022932
6312043375
Source: CMS National Downloadable File, September 2026.