Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2020
Offers telehealth
NPI: 1558972943
Practice Locations (1)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
750 E ADAMS ST
SYRACUSE, NY 132102306
3154645240
Source: CMS National Downloadable File, September 2026.