Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2021
NPI: 1285244277
Practice Locations (1)
UPSTATE FAMILY AND PREVENTIVE MEDICINE INC
6712 BROOKLAWN PKWY, SUITE 204
SYRACUSE, NY 132112158
3154328899
Source: CMS National Downloadable File, September 2026.