Graduated: 1994
NPI: 1790864346
Practice Locations (2)
WESTERN NEW YORK MEDICAL PRACTICE PC
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859223122
WESTERN NEW YORK MEDICAL PRACTICE PC
1445 PORTLAND AVE
ROCHESTER, NY 146213008
Source: CMS National Downloadable File, September 2026.