Graduated: 1988
NPI: 1144258591
Practice Locations (3)
SUN RIVER HEALTH INC.
82 MIDDLE COUNTRY RD
CORAM, NY 117274411
6313202220
STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC
100 NICOLLS RD
STONY BROOK, NY 117940001
6314445858
STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC
101 NICOLLS RD
STONY BROOK, NY 117940001
6314445858
Source: CMS National Downloadable File, September 2026.