Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1983
Also: GERIATRIC MEDICINE
NPI: 1891710307
Practice Locations (2)
533 ROUTE 111
Hauppauge, NY 117884350
533 ROUTE 111
HAUPPAUGE, NY 117884350
6313661788
Source: CMS National Downloadable File, September 2026.