Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1989
NPI: 1871555078
Practice Locations (2)
SOUTHWEST SUFFOLK MEDICAL PC
100 PORT WASHINGTON BLVD
ROSLYN, NY 115761347
5165626385
SOUTHWEST SUFFOLK MEDICAL PC
48 ROUTE 25A
SMITHTOWN, NY 117871431
Source: CMS National Downloadable File, September 2026.