Graduated: 2014
NPI: 1811385461
Practice Locations (2)
COOPERSTOWN MEDICAL CENTER
107 12TH ST S
COOPERSTOWN, ND 584254501
7017861700
CITY MEDICAL OF UPPER EAST SIDE PLLC
2398 BROADWAY
NEW YORK, NY 100241703
2127212111
Source: CMS National Downloadable File, September 2026.