Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1994
NPI: 1831169432
Practice Locations (3)
GREAT LAKES PHYSICIAN PRACTICE PC
17 SHERMAN ST
JAMESTOWN, NY 147017087
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7169343641
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
Source: CMS National Downloadable File, September 2026.