Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1972079549
Practice Locations (2)
TIOGA COUNTY
1062 STATE ROUTE 38
OWEGO, NY 138273209
6076874000
TIOGA COUNTY
PO BOX, SUITE 177
OWEGO, NY 138270177
Source: CMS National Downloadable File, September 2026.