Graduated: 2009
NPI: 1821550237
Practice Locations (2)
24 ON PHYSICIANS PC
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697000
SOUTHWEST SUFFOLK MEDICAL PC
1000 MONTAUK HWY
WEST ISLIP, NY 117954927
6313763000
Source: CMS National Downloadable File, September 2026.