Graduated: 2004
NPI: 1619017191
Practice Locations (2)
GREAT LAKES PHYSICIAN PRACTICE PC
17 SHERMAN ST
JAMESTOWN, NY 147017087
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
Source: CMS National Downloadable File, September 2026.