Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1770679763
Practice Locations (2)
PO BOX, SUITE 2000
EAST SYRACUSE, NY 13057
100 METROPOLITAN PARK DR, SUITE 100
LIVERPOOL, NY 130885842
Source: CMS National Downloadable File, September 2026.