Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1987
NPI: 1528142031
Practice Locations (1)
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
255 W MONTAUK HWY, LIFE CARE CTR
HAMPTON BAYS, NY 11946
6317235000
Source: CMS National Downloadable File, September 2026.