Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1780608166
Practice Locations (1)
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.