Graduated: 1996
NPI: 1740470459
Practice Locations (3)
STAMFORD HEALTH MEDICAL GROUP INC
29 HOSPITAL PLZ, SUITE 502
STAMFORD, CT 069023602
2033487410
MASSENA HOSPITAL INC
1 HOSPITAL DR
MASSENA, NY 136621056
3157694200
CANTON-POTSDAM HOSPITAL
50 LEROY ST
POTSDAM, NY 136761786
3152653300
Source: CMS National Downloadable File, September 2026.