Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1980
NPI: 1679674907
Practice Locations (2)
30 S MAIN ST
DOLGEVILLE, NY 133291318
3154298065
NYSARC INC FULTON COUNTY CHAPTER
465 N PERRY ST
JOHNSTOWN, NY 120951014
5187363937
Source: CMS National Downloadable File, September 2026.