Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1588801559
Practice Locations (2)
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
SPRINGFIELD HOSPITAL INC.
25 RIDGEWOOD RD
SPRINGFIELD, VT 051563050
8028852151
Source: CMS National Downloadable File, September 2026.