This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / NY
NURSE PRACTITIONER
Graduated: 2025
NPI: 1164378808
12 KODIAK DR
AVERILL PARK, NY 120184605
1547 COLUMBIA TPKE
CASTLETON, NY 120339543
Source: CMS National Downloadable File, September 2026.