Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1669622080
Practice Locations (2)
ST CHARLES HOSPITAL CORP
200 BELLE TERRE RD
PORT JEFFERSON, NY 117771928
6314746000
CHS PHYSICIAN PARTNERS PC
200 BELLE TERRE RD
PORT JEFFERSON, NY 117771928
6314746049
Source: CMS National Downloadable File, September 2026.