Graduated: 1975
Offers telehealth
NPI: 1396842944
Practice Locations (3)
903 MAIN ST, SUITE 202
PORT JEFFERSON, NY 117772259
6314733060
1 OLD FIELD PL
SETAUKET, NY 117331635
1 OLD FIELD PLACE
SETAUKET, NY 117331635
Source: CMS National Downloadable File, September 2026.