Graduated: 2017
NPI: 1144752684
Practice Locations (2)
SOUTHWEST SUFFOLK MEDICAL PC
50 ROUTE 25A
SMITHTOWN, NY 117871348
6318623000
NORTH SHORE-LIJ MEDICAL PC
900 FRANKLIN AVE
VALLEY STREAM, NY 115802145
5162566000
Source: CMS National Downloadable File, September 2026.