Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1988
NPI: 1578582292
Practice Locations (2)
37 NORTHERN BLVD, UNIT 15
GREENVALE, NY 115484001
1500 ROUTE 112, SUITE 8B
PORT JEFFERSON STATION, NY 117768053
9177153192
Source: CMS National Downloadable File, September 2026.