Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1984
NPI: 1063518975
Practice Locations (1)
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
75 BEEKMAN ST
PLATTSBURGH, NY 129011438
5185612000
Source: CMS National Downloadable File, September 2026.