Graduated: 2019
Offers telehealth
NPI: 1891030417
Practice Locations (2)
8407 PINEHURST DR, SUITE 104
TAMPA, FL 336151532
8138500050
MARY IMOGENE BASSETT HOSPITAL
140 BURWELL ST
LITTLE FALLS, NY 133651725
3158231000
Source: CMS National Downloadable File, September 2026.