Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2004
NPI: 1770779761
Practice Locations (1)
CENTERVILLE CLINICS, INC.
93 N MORGANTOWN ST, FAIRCHANCE CLINIC
FAIRCHANCE, PA 154361039
7245640900
Source: CMS National Downloadable File, September 2026.