Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1998
NPI: 1609814714
Practice Locations (2)
PO BOX, SUITE 2000
EAST SYRACUSE, NY 13057
2 COATES DR
GOSHEN, NY 109246758
Source: CMS National Downloadable File, September 2026.