Graduated: 1988
NPI: 1679566905
Practice Locations (3)
6800 PITTSFORD PALMYRA RD, BLDG 100 SUITE 135
FAIRPORT, NY 144503584
6800 PITTSFORD PALMYRA RD, SUITE 135
FAIRPORT, NY 144503519
5852357466
6800 PITTSFORD PALMYRA RD BLDG 100, SUITE 135
FAIRPORT, NY 144503584
Source: CMS National Downloadable File, September 2026.