Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1356333710
Practice Locations (1)
STATE OF NEW YORK COMPTROLLERS OFFICE
1200 E AND W RD, BLDG 16
WEST SENECA, NY 142243604
7165172000
Source: CMS National Downloadable File, September 2026.