Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2018
NPI: 1912499146
Practice Locations (2)
ST LAWRENCE COUNTY
80 STATE HWY 310, SUITE 2
CANTON, NY 136171436
3153862325
OGDENSBURG FAMILY PRACTICE LLC
921 STATE ST
OGDENSBURG, NY 136693347
3153939268
Source: CMS National Downloadable File, September 2026.