Graduated: 1995
NPI: 1124488911
Practice Locations (2)
LONG ISLAND SELECT HEALTHCARE, INC
221 N SUNRISE SERVICE RD
MANORVILLE, NY 119499604
6316502510
KINEXION MEDICAL SERVICES PC
221 N SUNRISE SERVICE RD
MANORVILLE, NY 119499604
6318788900
Source: CMS National Downloadable File, September 2026.