Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1982
NPI: 1538157136
Practice Locations (2)
1111 MONTACK HWY
WEST ISLIP, NY 117954910
1111 MONTAUK HWY
WEST ISLIP, NY 117954963
6314222700
Source: CMS National Downloadable File, September 2026.