Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1275579203
Practice Locations (2)
THE VILLAGES HEALTH SYSTEM LLC
1050 OLD CAMP RD
THE VILLAGES, FL 321621762
3526741760
CENTERWELL SENIOR PRIMARY CARE VITALITY INC
1050 OLD CAMP RD
THE VILLAGES, FL 321621762
3526741760
Source: CMS National Downloadable File, September 2026.