Graduated: 2013
NPI: 1962841296
Practice Locations (2)
SHORE MEDICAL TREATMENT PLLC
350 JERICHO TPKE
JERICHO, NY 117531317
SHORE MEDICAL TREATMENT PLLC
70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 117772161
2125187874
Source: CMS National Downloadable File, September 2026.