Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1922380203
Practice Locations (1)
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 117949440
6316381670
Source: CMS National Downloadable File, September 2026.