Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1987
Offers telehealth
NPI: 1790781474
Practice Locations (2)
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
FAIRFAX FAMILY PRACTICE CENTERS PC
6201 CENTREVILLE RD, SUITE 100
CENTREVILLE, VA 201212626
7032639600
Source: CMS National Downloadable File, September 2026.