Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2003
NPI: 1194990895
Practice Locations (3)
217 E MAIN ST
BAY SHORE, NY 117068407
6316707800
66 HARNED RD
COMMACK, NY 117253527
6316707800
COMMUNITY MEDICAL WELLNESS PC
1041 ROUTE 112
PORT JEFFERSON STATION, NY 117766000
6318284545
Source: CMS National Downloadable File, September 2026.