Graduated: 2022
NPI: 1154043347
Practice Locations (2)
WESTERN NEW YORK MEDICAL PRACTICE PC
4 COULTER RD
CLIFTON SPRINGS, NY 144321122
3159064059
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
Source: CMS National Downloadable File, September 2026.