Graduated: 2014
NPI: 1588056675
Practice Locations (3)
GREAT LAKES PHYSICIAN PRACTICE PC
15 S MAIN ST
JAMESTOWN, NY 147016627
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC
135 N UNION ST
OLEAN, NY 147602736
71637575006879
Source: CMS National Downloadable File, September 2026.