Graduated: 2010
NPI: 1043773310
Practice Locations (2)
UPSTATE COMMUNITY MEDICAL, PC
4900 BROAD RD
SYRACUSE, NY 132152265
3154925678
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
750 E ADAMS ST
SYRACUSE, NY 132102306
3154645540
Source: CMS National Downloadable File, September 2026.