Graduated: 2018
NPI: 1083183024
Practice Locations (2)
SNF PHYSIATRY SERVICES PA PLLC
123 S BROAD ST, FL 15
PHILADELPHIA, PA 191091029
8775444446
PROMED PREFERRED PA 5 PROFESSIONAL CORPORATION
STATE COLLEGE, PA 16803
8457388770
Source: CMS National Downloadable File, September 2026.