Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2003
NPI: 1053397604
Practice Locations (2)
5 BELLPORT LN
BELLPORT, NY 117132748
6312864014
1850 ROUTE 112, SUITE L
CORAM, NY 117272232
6317366161
Source: CMS National Downloadable File, September 2026.