Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2009
Offers telehealth
NPI: 1073740304
Practice Locations (2)
16 ATLANTIC AVE, FL 2
LYNBROOK, NY 115633046
PO BOX
NEW YORK, NY 10087
Source: CMS National Downloadable File, September 2026.