Graduated: 1974
NPI: 1487651469
Practice Locations (2)
WESTERN NEW YORK MEDICAL PRACTICE PC
1415 PORTLAND AVE, SUITE 100
ROCHESTER, NY 146213022
5852661000
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859223122
Source: CMS National Downloadable File, September 2026.