Graduated: 1996
NPI: 1174591796
Practice Locations (2)
GLENS FALLS HOSPITAL INC
79 N ST, GRANVILLE MEDICAL CENTER
GRANVILLE, NY 128321137
5186420612
GLENS FALLS HOSPITAL INC
65 POULTNEY ST
WHITEHALL, NY 128871543
5184992444
Source: CMS National Downloadable File, September 2026.