Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1730820689
Practice Locations (2)
601 ELMWOOD AVE, BOX 278911
Rochester, NY 146420001
300 CRITTENDEN BLVD, BOX PSYCH
ROCHESTER, NY 14642
Source: CMS National Downloadable File, September 2026.