Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1730176678
Practice Locations (1)
SAMARITAN PEDIATRIC SERVICES PC
655 DEER PARK AVE
BABYLON, NY 117021314
6313212100
Source: CMS National Downloadable File, September 2026.