Graduated: 2021
NPI: 1407436868
Practice Locations (2)
IRA DAVENPORT MEMORIAL HOSPITAL, INC.
7571 STATE ROUTE 54
BATH, NY 148109504
6077768500
PHYSICIANS MEDICAL ASSOCIATES NEW YORK PC
301 PROSPECT AVE
SYRACUSE, NY 132031807
3154485111
Source: CMS National Downloadable File, September 2026.