Graduated: 2019
NPI: 1164996948
Practice Locations (3)
MARY IMOGENE BASSETT HOSPITAL
1 ATWELL RD
COOPERSTOWN, NY 133261301
6075473480
SAMARITAN MEDICAL PRACTICE PC
22567 SUMMIT DR
WATERTOWN, NY 136017210
3157796784
SAMARITAN MEDICAL PRACTICE PC
629 WASHINGTON ST
WATERTOWN, NY 136014836
3157553650
Source: CMS National Downloadable File, September 2026.