Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2001
NPI: 1104878651
Practice Locations (2)
49 W PASSAIC AVE
RUTHERFORD, NJ 070701962
8776448090
130 E 94TH ST, APT 3A
NEW YORK, NY 101281727
8776448090
Source: CMS National Downloadable File, September 2026.