Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1992
NPI: 1215032297
Practice Locations (1)
MEETING HOUSE LANE MEDICAL PRACTICE PC
860 MONTAUK HWY
WATER MILL, NY 119762638
6317266073
Source: CMS National Downloadable File, September 2026.