Graduated: 1988
NPI: 1053393140
Practice Locations (2)
MEETING HOUSE LANE MEDICAL PRACTICE PC
240 MEETING HOUSE LN
SOUTHAMPTON, NY 119685009
6317268400
MEETING HOUSE LANE MEDICAL PRACTICE PC
325 MEETING HOUSE LN
SOUTHAMPTON, NY 119687000
Source: CMS National Downloadable File, September 2026.