Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 1999
NPI: 1982672861
Practice Locations (1)
ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER PC
29 E 1ST ST, ORAL AND IMPLANT SURGERY
CORNING, NY 148302620
6079621888
Source: CMS National Downloadable File, September 2026.