Graduated: 1996
NPI: 1225050404
Practice Locations (2)
UPSTATE FAMILY HEALTH CENTER, INCORPORATED
205 W DOMINICK ST, SUITE A
ROME, NY 134405811
3152196354
UPSTATE FAMILY HEALTH CENTER, INCORPORATED
1001 NOYES ST
UTICA, NY 135024400
3152196354
Source: CMS National Downloadable File, September 2026.