Graduated: 1991
NPI: 1982658092
Practice Locations (2)
NEWARK WAYNE COMMUNITY HOSPITAL
1200 DRIVING PARK AVE
NEWARK, NY 145131057
3153322266
PHYSICIANS MEDICAL ASSOCIATES NEW YORK PC
241 N RD
POUGHKEEPSIE, NY 126011154
8454835000
Source: CMS National Downloadable File, September 2026.