Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2022
NPI: 1134869621
Practice Locations (4)
1525 NW 62ND ST
Fort Lauderdale, FL 333091831
4 SPRINGVILLE RD, SUITE B
HAMPTON BAYS, NY 119462208
2758 MIDDLE COUNTRY RD
LAKE GROVE, NY 117552118
1000 RIVER RD, SUITE 100
CONSHOHOCKEN, PA 194282439
Source: CMS National Downloadable File, September 2026.