Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1991
Offers telehealth
NPI: 1164427118
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
INOVA PHYSICIAN PARTNERS LLC
8078 CRESCENT PARK DR, SUITE 201
GAINESVILLE, VA 201553449
7037534999
Source: CMS National Downloadable File, September 2026.