Graduated: 1995
NPI: 1659688224
Practice Locations (2)
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7164835306
CHAUTAUQUA ECG SVC INC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7164870141
Source: CMS National Downloadable File, September 2026.