Medical school: NEW YORK CHIROPRACTIC COLLEGE
Graduated: 1979
NPI: 1649353020
Practice Locations (3)
94 WASHBURN ST
Lake Grove, NY 117552739
94 WASHBURN ST
LAKE GROVE, NY 117552739
94 WASHBURN ST, HUNTINGTON CHIROPRACTIC OFFICE
LAKE GROVE, NY 117552739
6315850090
Source: CMS National Downloadable File, September 2026.