Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
Offers telehealth
NPI: 1982623948
Practice Locations (1)
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
255 W MONTAUK HWY, LIFE CARE CTR
HAMPTON BAYS, NY 11946
6317235000
Source: CMS National Downloadable File, September 2026.