Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1985
NPI: 1962473397
Practice Locations (3)
1409 RT, SUITE 9
Keeseville, NY 129442845
1409 ROUTE 9
KEESEVILLE, NY 129442845
5188347271
CGSR INC
154 PROSPECT AVE
PLATTSBURGH, NY 129011302
5185635440222
Source: CMS National Downloadable File, September 2026.