Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2007
Offers telehealth
NPI: 1861716292
Practice Locations (1)
COMMUNITY MEDICAL WELLNESS PC
1041 ROUTE 112
PORT JEFFERSON STATION, NY 117766000
6318284545
Source: CMS National Downloadable File, September 2026.