Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1295795912
Practice Locations (2)
5 STELL LN
East Northport, NY 117314510
5 STELL LN
EAST NORTHPORT, NY 117314510
6316154430
Source: CMS National Downloadable File, September 2026.