Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1993
NPI: 1447205570
Practice Locations (1)
UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY INC
146 L ARSENAL ST, SUITE 8
WATERTOWN, NY 136012520
3157860983
Source: CMS National Downloadable File, September 2026.