Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1144347261
Practice Locations (1)
CITY MEDICAL OF UPPER EAST SIDE PLLC
999 OLD COUNTRY RD
RIVERHEAD, NY 119012113
6312845900
Source: CMS National Downloadable File, September 2026.