Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1994
NPI: 1669483467
Practice Locations (2)
NEWARK WAYNE COMMUNITY HOSPITAL
1200 DRIVING PARK AVE
NEWARK, NY 145131057
3153322266
NEWARK WAYNE COMMUNITY HOSPITAL
1200 DRIVING PARK AVE
NEWARK, NY 145131090
3153322022
Source: CMS National Downloadable File, September 2026.