Graduated: 1997
NPI: 1871640599
Practice Locations (3)
EMERGENCY PROFESSIONALS OF INDIANA PC
275 W 12TH ST
PERU, IN 469701638
7654728000
SMALL HOSPITAL INNOVATIONS LLC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775000
RIVER HOSPITAL INC
4 FULLER ST
ALEX BAY, NY 136071316
3154822511
Source: CMS National Downloadable File, September 2026.