Graduated: 2023
NPI: 1376230441
Practice Locations (3)
601 ELMWOOD AVE BOX, SUITE 278911
Rochester, NY 146420001
150 CRITTENDEN BLVD, BOX 777 R ROOM 1.1188
ROCHESTER, NY 146420001
601 ELMWOOD AVE BOX
ROCHESTER, NY 146420001
Source: CMS National Downloadable File, September 2026.