Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1980
Offers telehealth
NPI: 1174648232
Practice Locations (4)
654 AVE C, SUITE 201
Bayonne, NJ 07002
654 AVE C
BAYONNE, NJ 07002
654 AVE C
BAYONNE, NJ 070023899
654 AVE C, SUITE 201
BAYONNE, NJ 070023899
Source: CMS National Downloadable File, September 2026.