Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1891966248
Practice Locations (2)
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
NEW YORK UNIVERSITY
77 MEDFORD AVE
PATCHOGUE, NY 117721281
6317581910
Source: CMS National Downloadable File, September 2026.