Medical school: SAGINAW VALLEY MEDICAL COLLEGE - NLG
Graduated: 1999
NPI: 1457405144
Practice Locations (2)
THE CHAUTAUQUA CENTER INC
1005 WALNUT ST
ELMIRA, NY 149011007
7164882322
THE CHAUTAUQUA CENTER INC
1118 CHARLES ST
ELMIRA, NY 149042709
6077349503
Source: CMS National Downloadable File, September 2026.