Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Apr 9, 2018
License(s)
310487 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1080 SUNRISE HWY | Amityville, NY 11701-2526 | 631-716-9026 |
| MAILING | 1080 SUNRISE HWY | Amityville, NY 11701-2526 | 631-716-9026 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.