Graduated: 1997
NPI: 1356500581
Practice Locations (2)
PECONIC BAY PRIMARY MEDICAL CARE
496 COUNTY RD, 111 BLDG B
MANORVILLE, NY 119493386
6314053200
PECONIC BAY PRIMARY MEDICAL CARE
34 COMMERCE AVE
RIVERHEAD, NY 119013118
6317271600
Source: CMS National Downloadable File, September 2026.