Graduated: 1978
NPI: 1093733859
Practice Locations (2)
UPSTATE FAMILY AND PREVENTIVE MEDICINE INC
4900 BROAD RD
SYRACUSE, NY 132152265
3154328899
UPSTATE FAMILY AND PREVENTIVE MEDICINE INC
6712 BROOKLAWN PKWY, SUITE 204
SYRACUSE, NY 132112158
3154328899
Source: CMS National Downloadable File, September 2026.