Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1770619546
Practice Locations (2)
475 E MAIN ST, SUITE 213
patchugue, NY 117723121
475 E MAIN ST, SUITE 213
PATCHUGUE, NY 117723121
6313571640
Source: CMS National Downloadable File, September 2026.