Graduated: 1992
NPI: 1235447053
Practice Locations (3)
750 VETERANS MEMORIAL HWY, SUITE 205
HAUPPAUGE, NY 11788
750 VETERANS MEMORIAL HWY, SUITE 205
HAUPPAUGE, NY 117882943
5165031553
23 HOLLY BERRY CT
WADING RIVER, NY 117922157
Source: CMS National Downloadable File, September 2026.