Graduated: 2009
NPI: 1609618826
Practice Locations (4)
212 HIGHBRIDGE ST, SUITE B
FAYETTEVILLE, NY 130661981
3156008123
PO BOX, SUITE 425
FAYETTEVILLE, NY 13066
7472 ARMSTRONG RD
MANLIUS, NY 131041418
4317 E GENESEE ST, SUITE 204
SYRACUSE, NY 132142114
Source: CMS National Downloadable File, September 2026.