Graduated: 2010
NPI: 1356636468
Practice Locations (3)
PECONIC BAY PRIMARY MEDICAL CARE
496 COUNTY RD, 111 BLDG B
MANORVILLE, NY 119493386
6314053200
CENTRAL SUFFOLK HOSPITAL
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486101
PECONIC BAY PRIMARY MEDICAL CARE
34 COMMERCE AVE
RIVERHEAD, NY 119013118
6317271600
Source: CMS National Downloadable File, September 2026.