Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1969
NPI: 1689782468
Practice Locations (3)
8101 HINSON FARM RD, SUITE 118
ALEXANDRIA, VA 223063404
7033603008
8101 HINSON FARM RD, SUITE 118
ALEXANDRIA, VA 223063404
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
Source: CMS National Downloadable File, September 2026.