Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1986
NPI: 1245244649
Practice Locations (3)
8561 NEWCOMB RD
LONG LAKE, NY 128477785
518624230111
PO BOX, SUITE 129
LONG LAKE, NY 128470129
4 SANTANONI DR
NEWCOMB, NY 128521913
5185822991
Source: CMS National Downloadable File, September 2026.