Graduated: 1993
NPI: 1154313401
Practice Locations (2)
MARY IMOGENE BASSETT HOSPITAL
1 ATWELL RD
COOPERSTOWN, NY 133261301
6075473480
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
256 MASON AVE, C
STATEN ISLAND, NY 103053408
7182266400
Source: CMS National Downloadable File, September 2026.