Graduated: 2024
NPI: 1912739988
Practice Locations (2)
FAIRVIEW HOSPITAL
18101 LORAIN AVE
CLEVELAND, OH 441115612
2164767000
PY MEDICAL SERVICES OF NY PLLC
6831 CHAPEL RD
MADISON, OH 440572255
7187099040
Source: CMS National Downloadable File, September 2026.