Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1104095744
Practice Locations (2)
845 BROAD AVE, SUITE 104
RIDGEFIELD, NJ 076571055
2013903730
995 OLD COUNTRY RD
PLAINVIEW, NY 118034906
8457958636
Source: CMS National Downloadable File, September 2026.