Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1033258009
Practice Locations (2)
PECONIC BAY PRIMARY MEDICAL CARE
34 COMMERCE AVE
RIVERHEAD, NY 119013118
6317271600
PECONIC BAY PRIMARY MEDICAL CARE
6144 ROUTE 25A, SUITE C
WADING RIVER, NY 117922018
6313695000
Source: CMS National Downloadable File, September 2026.