Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1992778070
Practice Locations (1)
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
9525 QUEENS BLVD, SUITE 3D
REGO PARK, NY 113744510
7189256212
Source: CMS National Downloadable File, September 2026.