Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1981
NPI: 1972532695
Practice Locations (2)
1425 PORTLAND AVE
ROCHESTER, NY 146213001
5859224000
81 DEER RUN
WILLIAMSVILLE, NY 142211819
5857480651
Source: CMS National Downloadable File, September 2026.