Graduated: 1985
NPI: 1386800696
Practice Locations (3)
ST CHARLES HOSPITAL CORP
200 BELLE TERRE RD
PORT JEFFERSON, NY 117771928
6314746000
MERCY MEDICAL CENTER
1000 N VILLAGE AVE
ROCKVILLE CENTER, NY 115701000
5167053428
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.