Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1912932799
Practice Locations (1)
GREAT LAKES PHYSICIAN PC
117 FOOTE AVE, SUITE 100
JAMESTOWN, NY 147016947
7163389200
Source: CMS National Downloadable File, September 2026.