Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1750463097
Practice Locations (2)
10 KINGSTON CIR
LOCKPORT, NY 140945606
397 DAVISON RD, SUITE 1
LOCKPORT, NY 140944005
7162662914
Source: CMS National Downloadable File, September 2026.