Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1979
Offers telehealth
NPI: 1033223474
Practice Locations (2)
2 SHIRLEY LANE
MIDDLETOWN, NY 109407941
2 SHIRLEY LN
MIDDLETOWN, NY 109407941
8453861407
Source: CMS National Downloadable File, September 2026.