Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1989
NPI: 1972500247
Practice Locations (1)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
725 E ADAMS ST
SYRACUSE, NY 132102576
3154645726
Source: CMS National Downloadable File, September 2026.