Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2024
NPI: 1760285308
Practice Locations (2)
500 W JEFFERSON ST
LOUISVILLE, KY 402022881
29 WEDGEWOOD DR, APT 58A
CARTERET, NJ 070081822
Source: CMS National Downloadable File, September 2026.