Graduated: 2009
NPI: 1346480480
Practice Locations (2)
GOOD SAMARITAN REGIONAL HEALTH CENTER
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
5572031601
SOUTHWEST SUFFOLK MEDICAL PC
50 ROUTE 25A
SMITHTOWN, NY 117871348
6318623000
Source: CMS National Downloadable File, September 2026.