Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1750325551
Practice Locations (2)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
725 E ADAMS ST
SYRACUSE, NY 132102576
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
750 E ADAMS ST
SYRACUSE, NY 132102306
3154644457
Source: CMS National Downloadable File, September 2026.