Graduated: 1994
Offers telehealth
NPI: 1962550483
Practice Locations (3)
243 GORHAM ST, APT 1107
CANANDAIGUA, NY 144241869
4012071073
493 BROADWAY
NEWPORT, RI 028401759
4012071073
7 BAYVIEW AVE, SUITE 1
NEWPORT, RI 028402107
Source: CMS National Downloadable File, September 2026.