Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1417057308
Practice Locations (2)
STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC
100 NICOLLS RD
STONY BROOK, NY 117940001
6314445858
STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC
101 NICOLLS RD
STONY BROOK, NY 117940001
6314445858
Source: CMS National Downloadable File, September 2026.