Graduated: 2024
NPI: 1164264321
Practice Locations (2)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
510 TOWNE DR
FAYETTEVILLE, NY 130661331
3156630500
SELECT PT, OT AND SLP REHABILITATION NY, PLLC
125 HARRY HOWARD AVE
HUDSON, NY 125341601
8004797695
Source: CMS National Downloadable File, September 2026.