Medical school: STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
Graduated: 2010
NPI: 1164743134
Practice Locations (2)
MEETING HOUSE LANE MEDICAL PRACTICE PC
3330 NOYAC RD
SAG HARBOR, NY 119631930
6317252112
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 350
COLUMBIA, SC 292036896
8034341319
Source: CMS National Downloadable File, September 2026.