Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1994
NPI: 1285741199
Practice Locations (1)
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
510 S 4TH ST, SUITE 600
FULTON, NY 130692952
3155984790
Source: CMS National Downloadable File, September 2026.