Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2022
NPI: 1316683725
Practice Locations (4)
5 PERRYRIDGE RD
GREENWICH, CT 068304641
20 YORK ST
NEW HAVEN, CT 065103220
2211 CONGRESS ST
PORTLAND, ME 041021941
PO BOX, SUITE 1150
BURLINGTON, VT 05402
Source: CMS National Downloadable File, September 2026.