Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1609915438
Practice Locations (2)
21 REDWOOD LANE
SMITHTOWN, NY 117872718
21 REDWOOD LN
SMITHTOWN, NY 117872718
6317547837
Source: CMS National Downloadable File, September 2026.