Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1265455109
Practice Locations (3)
565 ABBOTT RD
BUFFALO, NY 142202039
7168267000
9822 ROUTE 16
MACHIAS, NY 141019771
7163538516
STATLINE MEDICAL PC
200 WHITE PLAINS RD, SUITE 110
TARRYTOWN, NY 105915805
9142154748
Source: CMS National Downloadable File, September 2026.