Graduated: 2024
NPI: 1366252181
Practice Locations (2)
ELITE SPINE AND SPORTS CARE OF FORT LEE PC
1622 PARKER AVE, SUITE 2B
FORT LEE, NJ 070246927
2015920800
SPORTSMED PT LLC
505 GOFFLE RD, SUITE 1AND2
RIDGEWOOD, NJ 074504027
2019320044
Source: CMS National Downloadable File, September 2026.