Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2021
NPI: 1669052072
Practice Locations (2)
601 ELMWOOD AVE BOX, SUITE 278911
Rochester, NY 146420001
601 ELMWOOD AVE BOX PSYCH
ROCHESTER, NY 146420001
Source: CMS National Downloadable File, September 2026.