Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1999
NPI: 1942388061
Practice Locations (2)
250 PATCHOGUE YAPHANK RD, SUITE 7
EAST PATCHOGUE, NY 117724862
6317144402
3 GLOVERS LN
WESTHAMPTON BEACH, NY 119782321
6317144402
Source: CMS National Downloadable File, September 2026.