Graduated: 2003
NPI: 1932390150
Practice Locations (2)
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
169 RIVERIDE DR
BINGHAMTON, NY 139054246
6073523550
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
Source: CMS National Downloadable File, September 2026.