Graduated: 1998
Offers telehealth
NPI: 1639271018
Practice Locations (2)
COUNTY OF SUFFOLK
15 HORSEBLOCK PL
FARMINGVILLE, NY 117381204
6318542552
COUNTY OF SUFFOLK
3500 SUNRISE HWY 124, PO BOX 9006
GREAT RIVER, NY 117399006
Source: CMS National Downloadable File, September 2026.