Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1972622520
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
222 E MIDDLE COUNTRY RD, SUITE 114
SMITHTOWN, NY 117872814
6314708940
Source: CMS National Downloadable File, September 2026.