Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1995
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1992724710
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.