Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2001
NPI: 1013180447
Practice Locations (2)
HACKENSACK SURGERY AND WOUND CARE LLC
5 SUMMIT AVE, SUITE 105
HACKENSACK, NJ 076011271
5519962900
NUVANCE HEALTH MEDICAL PRACTICE PC
45 READE PL
POUGHKEEPSIE, NY 126013947
8454548500
Source: CMS National Downloadable File, September 2026.