Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2011
NPI: 1093093734
Practice Locations (2)
301 BRIDGE PLAZA N
FORT LEE, NJ 070245059
301 BRIDGE PLZ N, SUITE 1
FORT LEE, NJ 070245059
2019446440
Source: CMS National Downloadable File, September 2026.