Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1821134578
Practice Locations (2)
595 ROUTE 25A, SUITE 20
MILLER PLACE, NY 117642647
59520 ROUTE 25A
MILLER PLACE, NY 117642647
6317445500
Source: CMS National Downloadable File, September 2026.