Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2000
NPI: 1306803317
Practice Locations (2)
JOHN T MATHER MEMORIAL HOSPITAL
75 N COUNTRY RD
PORT JEFFERSON, NY 117772119
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.