Graduated: 2013
NPI: 1942649470
Practice Locations (3)
STATERA HEALTH CARE LLC
100 DR WARREN TUTTLE DR
HARRISBURG, IL 629462718
6182537671
MEETING HOUSE LANE MEDICAL PRACTICE PC
400 PANTIGO PL
EAST HAMPTON, NY 119375902
6316383433
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
Source: CMS National Downloadable File, September 2026.