Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1558385203
Practice Locations (1)
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.