Graduated: 1982
NPI: 1053371971
Practice Locations (2)
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859223122
WESTERN NEW YORK MEDICAL PRACTICE PC
2420 RIDGEWAY AVE
ROCHESTER, NY 146264114
5852274000
Source: CMS National Downloadable File, September 2026.