Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1967
Also: THORACIC SURGERY
NPI: 1962436485
Practice Locations (1)
ACTIVE LIFE HEALTH OF NY PC
300 E MAIN ST, SUITE 1
SMITHTOWN, NY 117872900
6316565544
Source: CMS National Downloadable File, September 2026.