Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1083695233
Practice Locations (2)
12 MEDICAL DR, SUITE D
PORT JEFFERSON STATION, NY 117761588
6319281222
12 MEDICAL DR D
PORT JEFFERSON STATION, NY 117761588
Source: CMS National Downloadable File, September 2026.