Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1996
NPI: 1144264680
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
5519961333
Source: CMS National Downloadable File, September 2026.