Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1811073935
Practice Locations (2)
652 SUFFOLK AVE, SUITE 208
BRENTWOOD, NY 117174305
6312313535
737 COMMACK RD
BRENTWOOD, NY 117177407
6318606800
Source: CMS National Downloadable File, September 2026.