Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
Offers telehealth
NPI: 1972161602
Practice Locations (1)
DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN
725 E ADAMS ST
SYRACUSE, NY 132102576
3154645726
Source: CMS National Downloadable File, September 2026.