Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1996
NPI: 1740250976
Practice Locations (2)
10 BUSINESS PARK COURT
UTICA, NY 135026308
10 BUSINESS PARK CT
UTICA, NY 135026308
3157352100
Source: CMS National Downloadable File, September 2026.