Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 2010
Offers telehealth
NPI: 1003185885
Practice Locations (1)
PROVIDENCE FACEY MEDICAL FOUNDATION
191 S BUENA VISTA ST, SUITE 100
BURBANK, CA 915054562
8188697600
Source: CMS National Downloadable File, September 2026.