Graduated: 2018
NPI: 1952874604
Practice Locations (2)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
5112 W TAFT RD, SUITE J
LIVERPOOL, NY 130884866
3157012170
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
750 E ADAMS ST
SYRACUSE, NY 132102306
3154648093
Source: CMS National Downloadable File, September 2026.