Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2009
Also: EMERGENCY MEDICINE, INTERNAL MEDICINE
NPI: 1912141904
Practice Locations (1)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
90 PRESIDENTIAL PLZ, 2ND
SYRACUSE, NY 132022240
3154645240
Source: CMS National Downloadable File, September 2026.