Graduated: 1993
NPI: 1104181759
Practice Locations (2)
NOVANT HEALTH PREP II LLC
7300 CARMEL EXECUTIVE PARK DR, SUITE 200
CHARLOTTE, NC 282261336
7043648104
ELLIS HOSPITAL
1101 NOTT ST
SCHENECCTADY, NY 123082425
5182434000
Source: CMS National Downloadable File, September 2026.