Graduated: 2020
NPI: 1902480809
Practice Locations (2)
ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVE
SYRACUSE, NY 132031807
3154485111
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568231
Source: CMS National Downloadable File, September 2026.