Graduated: 2021
NPI: 1992489777
Practice Locations (5)
1000 LAFAYETTE BLVD, SUITE 1100
BRIDGEPORT, CT 066044713
2 GUY PARK AVE
AMSTERDAM, NY 120104117
1 REID ST
Fort Plain, NY 133391336
PO BOX, SUITE 217
NELLISTON, NY 13410
PO BOX, SUITE 217
NELLISTON, NY 134100217
Source: CMS National Downloadable File, September 2026.