Graduated: 2019
NPI: 1063655298
Practice Locations (2)
WESTERN NEW YORK MEDICAL PRACTICE PC
100 KINGS HWY S
ROCHESTER, NY 146175504
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859223122
Source: CMS National Downloadable File, September 2026.