Graduated: 2011
NPI: 1407129109
Practice Locations (2)
LAKESHORE FAMILY MEDICINE ASSOC PC
7060 ERIE RD, SUITE 100
DERBY, NY 140479306
LAKESHORE FAMILY MEDICINE ASSOC PC
10626 MAIN ST
NORTH COLLINS, NY 141119550
7163372422
Source: CMS National Downloadable File, September 2026.