Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2005
NPI: 1093045197
Practice Locations (2)
1124 E RIDGEWOOD, SUITE 104
RIDGEWOOD, NJ 074503915
1124 E RIDGEWOOD AVE, SUITE 104
RIDGEWOOD, NJ 074503915
2015745230
Source: CMS National Downloadable File, September 2026.