Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1996
NPI: 1326125030
Practice Locations (3)
10 MALL W DR
JERSEY CITY, NJ 073101601
2017984642
441 WOODBRIDGE DR, BOSCOV'S OPTICAL
WOODBRIDGE, NJ 07095
7326341497
100 BAYCHESTER AVE
BRONX, NY 104754572
7188629419
Source: CMS National Downloadable File, September 2026.