Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1972804409
Practice Locations (1)
PHYSICAL THERAPY ULTRA PLLC
150 W 51ST ST, APT 1123
NEW YORK, NY 100196842
6463015893
Source: CMS National Downloadable File, September 2026.