Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2020
Offers telehealth
NPI: 1659920890
Practice Locations (3)
CHILDREN'S HOME OF JEFFERSON COUNTY
211 JB WISE PL
WATERTOWN, NY 136012507
3157827445
CHILDREN'S HOME OF JEFFERSON COUNTY
211 JB WISE PL, PO BOX 6550
WATERTOWN, NY 136016550
CHILDREN'S HOME OF JEFFERSON COUNTY
PO BOX, SUITE 6550
WATERTOWN, NY 136016550
Source: CMS National Downloadable File, September 2026.