Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1487711636
Practice Locations (2)
1000 MAIN ST
PORT JEFFERSON, NY 117772250
251 OAKLAND AVE, SUITE 2A
PORT JEFFERSON, NY 117772603
6317601830
Source: CMS National Downloadable File, September 2026.