Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2013
NPI: 1194149658
Practice Locations (1)
SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC
8 -12 S ST
LOCKPORT, NY 140944412
7167270099
Source: CMS National Downloadable File, September 2026.