Graduated: 1996
NPI: 1477789030
Practice Locations (3)
3687 CHILI AVE
ROCHESTER, NY 146245236
95 ALLENS CREEK RD, BLDG 1 SUITE 116
ROCHESTER, NY 146183250
95 ALLENS CREEK RD, SUITE 116
ROCHESTER, NY 146183200
5852340440
Source: CMS National Downloadable File, September 2026.