Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1164446423
Practice Locations (1)
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
255 W MONTAUK HWY, LIFE CARE CTR
HAMPTON BAYS, NY 11946
6317235000
Source: CMS National Downloadable File, September 2026.