Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1985
NPI: 1134122096
Practice Locations (1)
AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
210 TOWNSHIP BLVD, SUITE 10
CAMILLUS, NY 130311674
3154875858
Source: CMS National Downloadable File, September 2026.