Graduated: 1983
NPI: 1205961257
Practice Locations (4)
STATE OF NEW YORK COMPTROLLERS OFFICE
305 MAIN ST
BINGHAMTON, NY 139052524
6077291295
STATE OF NEW YORK COMPTROLLERS OFFICE
10714 N RD
PERRYSBURG, NY 141299746
7165321049
STATE OF NEW YORK COMPTROLLERS OFFICE
12234 ROUTE 39
PERRYSBURG, NY 141299712
7165321268
STATE OF NEW YORK COMPTROLLERS OFFICE
1200 E AND W RD, BLDG 16
WEST SENECA, NY 142243604
7165172000
Source: CMS National Downloadable File, September 2026.