Graduated: 2003
NPI: 1366740698
Practice Locations (2)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
1000 E GENESEE ST, SUITE 205
SYRACUSE, NY 132101853
3154641600
UPSTATE COMMUNITY MEDICAL, PC
4900 BROAD RD
SYRACUSE, NY 132152265
3154925678
Source: CMS National Downloadable File, September 2026.