Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1013182112
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
70 N COUNTRY RD
PORT JEFFERSON, NY 117772161
6316420609
Source: CMS National Downloadable File, September 2026.