Medical school: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated: 1997
NPI: 1023279254
Practice Locations (2)
1212 RAYMOND BLVD
NEWARK, NJ 071022938
9736450200
FUSION DENTAL, P.C.
2101 BAY RIDGE PKWY
BROOKLYN, NY 112045955
7182326996
Source: CMS National Downloadable File, September 2026.