Graduated: 1999
NPI: 1912985656
Practice Locations (2)
2171 JERICHO TPKE, SUITE 245
COMMACK, NY 117252900
6316057246
TRUE NORTH MEDICAL AT NORTH SUFFOLK, PLLC
6080 JERICHO TPKE
COMMACK, NY 117252850
6313649119
Source: CMS National Downloadable File, September 2026.