Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1990
NPI: 1457349490
Practice Locations (2)
STATE OF NEW YORK COMPTROLLERS OFFICE
200 SMITH DR
CORINTH, NY 128221341
5186547680
STATE OF NEW YORK COMPTROLLERS OFFICE
1050 FOREST HILL RD
STATEN ISLAND, NY 103146356
7184945313
Source: CMS National Downloadable File, September 2026.