Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1996
NPI: 1093702425
Practice Locations (1)
700 PATCHOGUE YAPHANK RD, SUITE 49
MEDFORD, NY 117632239
5162619622
Source: CMS National Downloadable File, September 2026.