Graduated: 2020
NPI: 1942809959
Practice Locations (3)
18256 NW 6TH ST
PEMBROKE PINES, FL 330293676
9548040998
CANTON-POTSDAM HOSPITAL
201 MARKET ST, SUITE E
POTSDAM, NY 136761218
3152749102
CANTON-POTSDAM HOSPITAL
50 LEROY ST
POTSDAM, NY 136761786
3152653300
Source: CMS National Downloadable File, September 2026.