Graduated: 2023
NPI: 1265130967
Practice Locations (3)
CAYUGA MEDICAL CENTER AT ITHACA
101 DATES DR
ITHACA, NY 148501342
6072744443
TIOGA COUNTY
1062 STATE ROUTE 38
OWEGO, NY 138273209
6076874000
TIOGA COUNTY
PO BOX, SUITE 177
OWEGO, NY 138270177
Source: CMS National Downloadable File, September 2026.