Graduated: 2017
NPI: 1518488295
Practice Locations (2)
NYSARC INC FULTON COUNTY CHAPTER
465 N PERRY ST
JOHNSTOWN, NY 120951014
5187363937
SARATOGA COUNTY
135 S BROADWAY
SARATOGA SPRINGS, NY 128664532
51858490301051
Source: CMS National Downloadable File, September 2026.