Graduated: 2010
NPI: 1265743744
Practice Locations (2)
MEETING HOUSE LANE MEDICAL PRACTICE PC
400 PANTIGO PL
EAST HAMPTON, NY 119375902
6316383433
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
Source: CMS National Downloadable File, September 2026.