Graduated: 1998
NPI: 1285629162
Practice Locations (4)
SMALL HOSPITAL INNOVATIONS LLC
111 CENTRAL AVE
NEWARK, NJ 071021909
9738775000
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
234 E 149 ST
BRONX, NY 104515504
7185796101
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
2601 OCEAN PKWY
BROOKLYN, NY 112357745
7186165356
GEISINGER CLINIC
1000 E MOUNTAIN DR
WILKES BARRE, PA 187110001
5708267850
Source: CMS National Downloadable File, September 2026.