Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2022
NPI: 1093446965
Practice Locations (3)
307 S EVERGREEN AVE
woodbury, NJ 080962739
307 S EVERGREEN AVE
WOODBURY, NJ 080962739
923 SPRUCE ST, APT 1R
PHILADELPHIA, PA 191075892
Source: CMS National Downloadable File, September 2026.