Graduated: 2020
NPI: 1366030264
Practice Locations (2)
HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC
870 PALISADE AVE, SUITE 205
TEANECK, NJ 076663445
2018361663
TBHC PHYSICIAN SERVICES PC
121 DEKALB AVE
BROOKLYN, NY 112015425
7182508000
Source: CMS National Downloadable File, September 2026.