Graduated: 1987
NPI: 1023092269
Practice Locations (2)
GENEVA GENERAL HOSPITAL, INC
196 N ST
GENEVA, NY 144561651
3157875355
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
Source: CMS National Downloadable File, September 2026.