Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1977
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1265476410
Practice Locations (1)
ST JOSEPHS MEDICAL PC
4100 MEDICAL CTR DR, SUITE 117
FAYETTEVILLE, NY 13066
3157441505
Source: CMS National Downloadable File, September 2026.