Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1994
NPI: 1104828805
Practice Locations (2)
541 CEDAR HILL AVE
WYCKOFF, NJ 074812150
2019042121
130 E 77TH ST, FL 7
NEW YORK, NY 100751851
2126913535
Source: CMS National Downloadable File, September 2026.