Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
NPI: 1417020736
Practice Locations (4)
MEETING HOUSE LANE MEDICAL PRACTICE PC
400 PANTIGO PL
EAST HAMPTON, NY 119375902
6316383433
MEETING HOUSE LANE MEDICAL PRACTICE PC
3330 NOYAC RD
SAG HARBOR, NY 119631930
6317252112
MEETING HOUSE LANE MEDICAL PRACTICE PC
240 MEETING HOUSE LN
SOUTHAMPTON, NY 119685009
6317268400
MEETING HOUSE LANE MEDICAL PRACTICE PC
325 MEETING HOUSE LN
SOUTHAMPTON, NY 119687000
Source: CMS National Downloadable File, September 2026.