Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2002
Also: FAMILY PRACTICE
NPI: 1902869555
Practice Locations (1)
NEW YORK INSTITUTE OF TECHNOLOGY
267 CARLETON AVE
CENTRAL ISLIP, NY 117224543
6313483254
Source: CMS National Downloadable File, September 2026.