Medical school: STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated: 1993
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1073568556
Practice Locations (1)
ROCHESTER GENERAL HOSPITAL
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859224000
Source: CMS National Downloadable File, September 2026.