Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1366584195
Practice Locations (2)
75 SUMMIT AVE, SUITE 2
HACKENSACK, NJ 076011289
2017345853
CITY MEDICAL OF UPPER EAST SIDE PLLC
14 W 14TH ST
NEW YORK, NY 100117524
2123900558
Source: CMS National Downloadable File, September 2026.