Graduated: 2013
NPI: 1528482122
Practice Locations (3)
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
SOUTHWEST SUFFOLK MEDICAL PC
200 BELLE TERRE RD
PORT JEFFERSON, NY 117771928
SOUTHWEST SUFFOLK MEDICAL PC
48 ROUTE 25A
SMITHTOWN, NY 117871431
Source: CMS National Downloadable File, September 2026.