Graduated: 1978
NPI: 1164467031
Practice Locations (4)
522 S 4TH ST, SUITE 1200
FULTON, NY 130692529
3155985795
110 W 6TH ST
OSWEGO, NY 131262507
OSWEGO HOSPITAL
110 W 6TH ST
OSWEGO, NY 131262507
3153495511
OSWEGO HOSPITAL, 110 WEST SIXTH STREET
OSWEGO, NY 131262507
Source: CMS National Downloadable File, September 2026.