Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2018
NPI: 1760969653
Practice Locations (2)
UPSTATE COMMUNITY MEDICAL, PC
4900 BROAD RD
SYRACUSE, NY 132152265
3154925678
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
750 E ADAMS ST
SYRACUSE, NY 132102306
3154648093
Source: CMS National Downloadable File, September 2026.