Graduated: 2021
NPI: 1245180504
Practice Locations (3)
10 OAK ST, APT 403
EAST RUTHERFORD, NJ 070731233
8746 20TH AVE, L
BROOKLYN, NY 112144802
424 MADISON AVE, SUITE 1200
NEW YORK, NY 100171147
Source: CMS National Downloadable File, September 2026.