Graduated: 1995
NPI: 1306121314
Practice Locations (2)
MIDSTATE MEDICAL CENTER
435 LEWIS AVE
MERIDEN, CT 064512101
2036948200
NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC
241 N RD
POUGHKEEPSIE, NY 126011154
8454835000
Source: CMS National Downloadable File, September 2026.