Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2017
NPI: 1043751183
Practice Locations (2)
OSUP COMMUNITY OUTREACH LLC
601 STATE ROUTE 664 N
LOGAN, OH 431388541
7403808000
EMERGENCY PROFESSIONAL SERVICES, INC.
615 FULTON ST
PORT CLINTON, OH 434522001
4197343131
Source: CMS National Downloadable File, September 2026.