Graduated: 2009
NPI: 1366678864
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
301 E MAIN ST, 2 NORTH
BAY SHORE, NY 117068408
6319683293
SOUTHWEST SUFFOLK MEDICAL PC
50 ROUTE 25A
SMITHTOWN, NY 117871348
6318623000
Source: CMS National Downloadable File, September 2026.