Graduated: 1999
NPI: 1548825698
Practice Locations (2)
UPSTATE FAMILY AND PREVENTIVE MEDICINE INC
90 PRESIDENTIAL PLZ
SYRACUSE, NY 132022240
3154644686
DALLAS COUNTY HOSPITAL DISTRICT
4600 SCYENE RD
DALLAS, TX 752102219
2142661200
Source: CMS National Downloadable File, September 2026.