Medical school: STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated: 2012
NPI: 1992893135
Practice Locations (1)
BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.
257 LAFAYETTE AVE
SUFFERN, NY 109014830
845353560025027
Source: CMS National Downloadable File, September 2026.