Graduated: 2020
NPI: 1972111854
Practice Locations (2)
ST PETERS HOSPITAL OF THE CITY OF ALBANY
315 S MANNING BLVD
ALBANY, NY 122081707
5185251386
ELLIS HOSPITAL
1101 NOTT ST
SCHENECCTADY, NY 123082425
5182434000
Source: CMS National Downloadable File, September 2026.