Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1154458024
Practice Locations (2)
7 N EQUESTRIAN CT
Hauppauge, NY 117883334
7 N EQUESTRIAN CT
HAUPPAUGE, NY 117883334
6319440995
Source: CMS National Downloadable File, September 2026.